| Candlewood Family Dental Llc | |
|
940 Federal Rd Brookfield CT 06804-1150 | |
| (203) 775-5533 | |
| (203) 775-5511 |
| Full Name | Candlewood Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 940 Federal Rd, Brookfield, Connecticut |
| Authorized Official Name and Position | Christine R Waldron (MEMBER) |
| Authorized Official Contact | 2037755533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candlewood Family Dental Llc 940 Federal Rd Brookfield CT 06804-1150 Ph: (203) 775-5533 | Candlewood Family Dental Llc 940 Federal Rd Brookfield CT 06804-1150 Ph: (203) 775-5533 |
| NPI Number | 1093153918 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093153918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 009332 (Connecticut) | Primary |
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