Organization
WINTONBURY DENTAL ASSOCIATES, P.C.
Active
Other names
Wintonbury Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSO L MACK D.M.D. (PRESIDENT)
(860) 243-5451
Entity
Organization
Contact information
Practice address
2 WINTONBURY MALL, BLOOMFIELD, CT 06002-2466
(860) 243-5451
(860) 656-6107
Mailing address
2 WINTONBURY MALL, BLOOMFIELD, CT 06002-2466
(860) 243-5451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005845
CT
Other
Enumeration date
08/26/2009
Last updated
06/01/2011
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