Organization
MATTATUCK DENTISTRY & IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA BLANKSCHEN (CFO/MANAGER)
(860) 997-0569
Entity
Organization
Contact information
Practice address
109 WATERTOWN AVE STE 2, WATERBURY, CT 06708-2623
(860) 997-0569
Mailing address
109 WATERTOWN AVE STE 2, WATERBURY, CT 06708-2623
(860) 997-0569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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