Organization
MSDA PLLC
Active
Other names
Market Square Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA JANINE ROBB DDS (OWNER)
(860) 667-0818
Entity
Organization
Contact information
Practice address
51 MARKET SQ, NEWINGTON, CT 06111-2912
(860) 667-0818
Mailing address
51 MARKET SQ, NEWINGTON, CT 06111-2912
(860) 667-0818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497041149
INDIVIDUAL NPI
CT
Enumeration date
10/26/2022
Last updated
10/26/2022
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