Organization
MBRACES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADIPTA MAZUMDER D.D.S. (ORTHODONTIST)
(571) 594-6007
Entity
Organization
Contact information
Practice address
5 CENTER ST, BRISTOL, CT 06010-4916
(860) 589-3316
Mailing address
5 CENTER ST, BRISTOL, CT 06010-4916
(860) 589-3316
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011110
CT
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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