Organization
GREENWICH DENTAL LLC
Active
Parent organization
GREENWICH DENTAL LLC
Other names
Greenwich Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENWICH DENTAL LLC
Authorized official
DR. JUDITH CORDERO DDS (OWNER)
(203) 622-3068
Entity
Organization
Contact information
Practice address
100 MELROSE AVE, GREENWICH, CT 06830-6257
(203) 622-3068
(203) 622-3069
Mailing address
100 MELROSE AVE, GREENWICH, CT 06830-6257
(203) 622-3068
(203) 622-3069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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