Organization
NEW WAY DENTAL SVCS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARITA Y MONTALVO (DDS/MEMBER)
(860) 456-1333
Entity
Organization
Contact information
Practice address
886 MAIN ST, SUITE 2, WILLIMANTIC, CT 06226-2340
(860) 231-1331
(860) 231-0363
Mailing address
163 NEWINGTON RD, WEST HARTFORD, WILLIMANTIC, CT 06226-2359
(860) 456-1333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009090
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002090900
—
CT
Enumeration date
02/28/2009
Last updated
03/03/2009
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