Organization
GREEN VALLEY ORTHODONTICS PLLC
Active
Other names
Orthodontist
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM DANIELS DDS, MS (MEMBER)
(860) 597-0922
Entity
Organization
Contact information
Practice address
82 KILLINGLY AVE, PUTNAM, CT 06260-3021
(860) 928-4088
Mailing address
118 WILDWOOD RD, VERNON, CT 06066-6014
(860) 597-0922
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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