Family Dental Practice Of Newington

NPI 1164567111 - Dentist - 122300000X

NPI Details
NPI 1164567111
Enumeration Date 02/20/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LYNN MICHELINE LYNN
Position OFFICE ADMINISTRATOR
Phone (860) 665-0444
Fax (860) 665-1465
Practice Location
375 WILLARD AVE
NEWINGTON CT, 06111-2300, US
Phone (860) 665-0444
Fax (860) 665-1465
Business Location
375 WILLARD AVE
NEWINGTON CT, 06111-2300, US
Phone (860) 665-0444
Fax (860) 665-1465
Toxanomy
Taxonomy Code 122300000X
License State Connecticut
License Number 4731
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According to our database, Family Dental Practice Of Newington NPI is 1164567111, taxonomy code is 122300000X and license number is 4731, license state is located at Connecticut. Family Dental Practice Of Newington physically located at 375 Willard Ave, Newington CT, 06111-2300. NPI Number 1033115704 has the healthcare provider type.

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1164567111 NPI number is provided on an as is basis without warranty of any kind. 1164567111 is maintained by the National Plan & Provider Enumeration System. The contents of Family Dental Practice Of Newington are for informational purposes only.