Bristol Endodontics Pc | |
225 N Main St Ste 209 Bristol CT 06010-4993 | |
(860) 583-8379 | |
Not Available |
Full Name | Bristol Endodontics Pc |
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Speciality | Clinic/center - Dental |
Location | 225 N Main St Ste 209, Bristol, Connecticut |
Authorized Official Name and Position | Lester Reid (OWNER) |
Authorized Official Contact | 8606559195 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bristol Endodontics Pc 225 N Main St Ste 209 Bristol CT 06010-4993 Ph: (860) 583-8379 | Bristol Endodontics Pc 225 N Main St Ste 209 Bristol CT 06010-4993 Ph: (860) 583-8379 |
NPI Number | 1629696190 |
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Provider Enumeration Date | 07/10/2020 |
Last Update Date | 07/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629696190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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