Individual
DR. DANTE PAOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
192 MAIN ST, MANCHESTER, CT 06042-3581
(860) 649-4655
Mailing address
192 MAIN ST, MANCHESTER, CT 06042-3581
(860) 649-4655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
011680
CT
1223P0221X
Pediatric Dentistry
Primary
011680
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2015
Last updated
08/17/2020
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