Organization
PEDIATRIC DENTAL ASSOC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN M. PERKINS (OFFICE MANAGER)
(860) 649-4655
Entity
Organization
Contact information
Practice address
192 MAIN ST, MANCHESTER, CT 06042-3581
(860) 649-4655
(860) 646-3281
Mailing address
192 MAIN ST, MANCHESTER, CT 06042-3581
(860) 649-4655
(860) 646-3281
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
06/11/2013
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