Organization
FREDERICK DANIELS,DDS,FAMILY DENTISTRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK DANIELS DDS (DENTIST)
(860) 875-6269
Entity
Organization
Contact information
Practice address
12 GOOSE LN, TOLLAND, CT 06084-3400
(860) 875-6269
(860) 870-5606
Mailing address
12 GOOSE LN, TOLLAND, CT 06084-3400
(860) 875-6269
(860) 870-5606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005030
CT
Other
Enumeration date
11/03/2014
Last updated
09/06/2016
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