| Llc | |
|
172 Mt Pleasant Rd Newtown CT 06470 | |
| (203) 426-0045 | |
| (203) 270-1555 |
| Full Name | Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 172 Mt Pleasant Rd, Newtown, Connecticut |
| Authorized Official Name and Position | John A Dudley (OWNER DENTIST) |
| Authorized Official Contact | 2034260045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Llc 172 Mt Pleasant Rd Newtown CT 06470 Ph: (203) 426-0045 | Llc 172 Mt Pleasant Rd Newtown CT 06470 Ph: (203) 426-0045 |
| NPI Number | 1619061504 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619061504 | NPI | - | NPPES |
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