| Grove Dental Llc | |
|
1299 Silas Deane Hwy Wethersfield CT 06109-4302 | |
| (860) 571-8984 | |
| (860) 529-1509 |
| Full Name | Grove Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1299 Silas Deane Hwy, Wethersfield, Connecticut |
| Authorized Official Name and Position | Thomas S Sponzo (PRESIDENT) |
| Authorized Official Contact | 8605718984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Dental Llc 1299 Silas Deane Hwy Wethersfield CT 06109-4302 Ph: (860) 571-8984 | Grove Dental Llc 1299 Silas Deane Hwy Wethersfield CT 06109-4302 Ph: (860) 571-8984 |
| NPI Number | 1598203556 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598203556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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