Organization
TINY TEETH GENERAL DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE MOTYKA D.M.D. (OWNER)
(860) 583-8469
Entity
Organization
Contact information
Practice address
710 KING ST, BRISTOL, CT 06010-4477
(860) 583-8469
(860) 583-8470
Mailing address
710 KING ST, BRISTOL, CT 06010-4477
(860) 583-8469
(860) 583-8470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
11/15/2012
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