Organization
ADULT AND PEDIATRIC DENTAL CARE OF WESTPORT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM J FREEMAN DDS,MAGD (PRESIDENT)
(203) 227-3709
Entity
Organization
Contact information
Practice address
22 IMPERIAL AVE, WESTPORT, CT 06880-4301
(203) 227-3709
Mailing address
22 IMPERIAL AVE, WESTPORT, CT 06880-4301
(203) 227-3709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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