Organization
RIVER ROAD PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN RABINE DDS (OWNER)
(203) 209-0202
Entity
Organization
Contact information
Practice address
865 RIVER RD STE 10, SHELTON, CT 06484-5464
(203) 209-0202
Mailing address
865 RIVER RD STE 10, SHELTON, CT 06484-5464
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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