Organization
JUST4KIDZDENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTE WEGRZYN RELIGA D.M.D. (OWNER)
(860) 426-1470
Entity
Organization
Contact information
Practice address
1115 WEST ST, SUITE #4, SOUTHINGTON, CT 06489-1023
(860) 426-1470
Mailing address
1115 WEST ST, SUITE #4, SOUTHINGTON, CT 06489-1023
(860) 426-1470
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
008492
CT
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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