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Organization

RESOLUTE BPW, LLC

Active
Other names
Raccio & Drew Dental Group, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY A TOBACK DMD, MS (OWNER)
(860) 443-2428
Entity
Organization

Contact information

Practice address
256 BOSTON POST RD, WATERFORD, CT 06385-2054
(860) 443-2428
Mailing address
190 HEMPSTEAD ST, NEW LONDON, CT 06320-6248
(860) 443-2428
(860) 442-6704

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/12/2019
Last updated
09/12/2019
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