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Organization

CLINTON FAMILY DENTISTRY, LLC

Active
Parent organization
CLINTON FAMILY DENTISTRY, LLC
Other names
Clinton Family Dentistry, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLINTON FAMILY DENTISTRY, LLC
Authorized official
RICHARD PANAGROSSI DMD (OWNER)
(860) 669-2700
Entity
Organization

Contact information

Practice address
145R E MAIN ST, CLINTON, CT 06413-2104
(860) 669-2700
Mailing address
145R E MAIN ST, CLINTON, CT 06413-2104
(860) 669-2700

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7503
CT
122300000X
Dentist
8902
CT

Other

Enumeration date
09/19/2016
Last updated
09/19/2016
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