Home Town Dental Inc | |
31 Bailey Ave Ste C Ridgefield CT 06877-4533 | |
(212) 203-3795 | |
Not Available |
Full Name | Home Town Dental Inc |
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Speciality | Dentist |
Location | 31 Bailey Ave Ste C, Ridgefield, Connecticut |
Authorized Official Name and Position | Nicholas Ritzcovan (PRESIDENT / DENTIST) |
Authorized Official Contact | 2122033795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Home Town Dental Inc 31 Bailey Ave Ste C Ridgefield CT 06877-4533 Ph: (212) 203-3795 | Home Town Dental Inc 31 Bailey Ave Ste C Ridgefield CT 06877-4533 Ph: (212) 203-3795 |
NPI Number | 1174020630 |
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Provider Enumeration Date | 04/11/2018 |
Last Update Date | 04/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174020630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 011015 (Connecticut) | Primary |
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