Organization
DENTAL TEAM OF SOUTH WINDSOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE AIGUIER (CEO)
(617) 308-5361
Entity
Organization
Contact information
Practice address
469 BUCKLAND RD STE 202, SOUTH WINDSOR, CT 06074-3737
(860) 648-9335
Mailing address
469 BUCKLAND RD STE 202, SOUTH WINDSOR, CT 06074-3737
(860) 648-9335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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