Organization
GERIDENT SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ANNA KURILEC D.M.D. (OWNER)
(860) 529-3435
Entity
Organization
Contact information
Practice address
21 SILO DR, WETHERSFIELD, CT 06109-2717
(860) 529-3435
Mailing address
PO BOX 290539, WETHERSFIELD, CT 06129-0539
(203) 930-8087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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