Organization
ADVANTAGE DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN VAN LEW (OFFICE MANAGER)
(860) 691-0025
Entity
Organization
Contact information
Practice address
1 CLINIC DR, NORWICH, CT 06360
(860) 889-4044
Mailing address
1 CLINIC DR, NORWICH, CT 06360
(860) 889-4044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9420
CT
Other
Enumeration date
05/04/2007
Last updated
09/25/2009
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