Organization
NEWINGTON DENTISTRY AND BRACES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE TAVANO (CFO)
(978) 580-1524
Entity
Organization
Contact information
Practice address
2985 BERLIN TPKE UNIT 7A, NEWINGTON, CT 06111-4601
(860) 748-4888
(860) 748-4887
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 460-0632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
04/23/2020
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