Organization
B & R DENTAL, LLC
Active
Other names
West Main Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEPA MOVVA DMD (OWNER)
(305) 302-2828
Entity
Organization
Contact information
Practice address
105 W MAIN ST, NEW BRITAIN, CT 06051-2216
(860) 229-0750
Mailing address
105 W MAIN ST, NEW BRITAIN, CT 06051-2216
(860) 229-0750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010790
CT
Other
Enumeration date
08/13/2013
Last updated
10/23/2013
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