Msda Pllc | |
51 Market Sq Newington CT 06111-2912 | |
(860) 667-0818 | |
Not Available |
Full Name | Msda Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 51 Market Sq, Newington, Connecticut |
Authorized Official Name and Position | Vanessa Janine Robb (OWNER) |
Authorized Official Contact | 8606670818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Msda Pllc 51 Market Sq Newington CT 06111-2912 Ph: (860) 667-0818 | Msda Pllc 51 Market Sq Newington CT 06111-2912 Ph: (860) 667-0818 |
NPI Number | 1881311280 |
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Provider Enumeration Date | 10/26/2022 |
Last Update Date | 10/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881311280 | NPI | - | NPPES |
1497041149 | Other | CT | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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