Organization
COMPREHENSIVE GERIATRIC DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON HOLDER DDS (OWNER)
(860) 558-5330
Entity
Organization
Contact information
Practice address
971 MARSHALL PHELPS RD, WINDSOR, CT 06095-2163
(860) 558-5330
Mailing address
971 MARSHALL PHELPS RD, WINDSOR, CT 06095-2163
(860) 558-5330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6512
CT
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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