Organization
DURHAM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J WITKOWSKI DMD (DENTIST)
(860) 349-1123
Entity
Organization
Contact information
Practice address
360 D MAIN STREET, DURHAM, CT 06422
(860) 349-1123
(860) 349-2040
Mailing address
PO BOX 177, 360 D MAIN STREET, DURHAM, CT 06422
(860) 349-1123
(860) 349-2040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5206
CT
122300000X
Dentist
Primary
5860
CT
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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