Individual
DR. JOHN D MAINWARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 INDIAN RIVER RD, SUITE A7, ORANGE, CT 06477-3649
(203) 799-6625
Mailing address
240 INDIAN RIVER RD, SUITE A7, ORANGE, CT 06477-3649
(203) 799-6625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005221
CT
Other
Enumeration date
05/11/2007
Last updated
04/05/2013
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