| Addison Village Dental, Inc | |
|
969 Hebron Ave Glastonbury CT 06033-5033 | |
| (646) 752-2005 | |
| Not Available |
| Full Name | Addison Village Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 969 Hebron Ave, Glastonbury, Connecticut |
| Authorized Official Name and Position | Gabriela Vatafu (PRESIDENT) |
| Authorized Official Contact | 6467522005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Village Dental, Inc 969 Hebron Ave Glastonbury CT 06033-5033 Ph: () - | Addison Village Dental, Inc 969 Hebron Ave Glastonbury CT 06033-5033 Ph: (646) 752-2005 |
| NPI Number | 1265863518 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265863518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 009515 (Connecticut) | Primary |
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