Organization
ELLINGTON DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANN LLOIS VALLERA D.D.S. (PRESIDENT)
(860) 872-2452
Entity
Organization
Contact information
Practice address
175 WEST RD, ELLINGTON, CT 06029-3730
(860) 872-2452
(860) 870-1385
Mailing address
175 WEST RD, ELLINGTON, CT 06029-3730
(860) 872-2452
(860) 870-1385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CT7869
CT
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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