Organization
ARTISTIC DENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE MARK FERNANDEZ-BAUJIN D.M.D. (CFO)
(860) 379-3830
Entity
Organization
Contact information
Practice address
512 MAIN ST, NEW HARTFORD, CT 06057
(860) 379-3830
(860) 379-0408
Mailing address
2492 TORRINGFORD ST, TORRINGTON, CT 06790-2523
(860) 234-7970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CT
Other
Enumeration date
05/18/2007
Last updated
07/21/2022
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