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Organization

CONNECTICUT DENTAL PROFESSIONALS, P.C.

Active
Parent organization
CONNECTICUT DENTAL PROFESSIONALS, P.C.
Other names
Greater Norwalk Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
CONNECTICUT DENTAL PROFESSIONALS, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization

Contact information

Practice address
12647 OLIVE BLVD, SAINT LOUIS, MO 63141-6393
(217) 540-8306
Mailing address
1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL 62401-4637

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
02/02/2022
Last updated
02/02/2022
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