| Just4kidzdentistry | |
|
1115 West St Suite #4 Southington CT 06489-1023 | |
| (860) 426-1470 | |
| Not Available |
| Full Name | Just4kidzdentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1115 West St, Southington, Connecticut |
| Authorized Official Name and Position | Celeste Wegrzyn Religa (OWNER) |
| Authorized Official Contact | 8604261470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just4kidzdentistry 1115 West St Suite #4 Southington CT 06489-1023 Ph: (860) 426-1470 | Just4kidzdentistry 1115 West St Suite #4 Southington CT 06489-1023 Ph: (860) 426-1470 |
| NPI Number | 1790116036 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790116036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 008492 (Connecticut) | Primary |
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