Green Valley Orthodontics Pllc | |
82 Killingly Ave Putnam CT 06260-3021 | |
(860) 928-4088 | |
Not Available |
Full Name | Green Valley Orthodontics Pllc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 82 Killingly Ave, Putnam, Connecticut |
Authorized Official Name and Position | Adam Daniels (MEMBER) |
Authorized Official Contact | 8605970922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Green Valley Orthodontics Pllc 118 Wildwood Rd Vernon CT 06066-6014 Ph: (860) 597-0922 | Green Valley Orthodontics Pllc 82 Killingly Ave Putnam CT 06260-3021 Ph: (860) 928-4088 |
NPI Number | 1699486852 |
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Provider Enumeration Date | 12/08/2022 |
Last Update Date | 12/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699486852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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