Organization
REIDVILLE DENTISTRY & IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELINA SANTA MARIA (BUSINESS MANAGER)
(860) 997-0569
Entity
Organization
Contact information
Practice address
464 REIDVILLE DR, SUITE A2, WATERBURY, CT 06705-2650
(860) 444-9345
(860) 437-1938
Mailing address
48 OCEAN AVE, NEW LONDON, CT 06320-3414
(860) 444-9345
(860) 437-1938
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CT
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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