Individual
AMANDA M DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 823-3060
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 823-3060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855547
MA
1223G0001X
General Practice Dentistry
Primary
010419
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031899
—
CT
Enumeration date
01/03/2011
Last updated
03/27/2012
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