Organization
KEITH H. WADE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEDY WADE (BOOK KEEPER)
(203) 266-7435
Entity
Organization
Contact information
Practice address
101 MAIN ST S, BETHLEHEM, CT 06751-2032
(203) 266-7435
(203) 266-5100
Mailing address
101 MAIN ST S, BETHLEHEM, CT 06751-2032
(203) 266-7435
(203) 266-5100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007350
CT
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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