| Pediatric Dental Assoc P.c. | |
|
192 Main St Manchester CT 06042-3581 | |
| (860) 649-4655 | |
| (860) 646-3281 |
| Full Name | Pediatric Dental Assoc P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 192 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Eileen M. Perkins (OFFICE MANAGER) |
| Authorized Official Contact | 8606494655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Assoc P.c. 192 Main St Manchester CT 06042-3581 Ph: (860) 649-4655 | Pediatric Dental Assoc P.c. 192 Main St Manchester CT 06042-3581 Ph: (860) 649-4655 |
| NPI Number | 1851329510 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851329510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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