Individual
MR. MARTIN T NWEEIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., LLC
Contact information
Practice address
6 NEW ST, SHARON, CT 06069-2077
(860) 364-0200
Mailing address
16 GRANDVIEW LN, SHARON, CT 06069
(860) 364-0200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7608
CT
1223G0001X
General Practice Dentistry
Primary
7608
CT
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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