| Pediatric Dentistry, P.c. | |
|
1 Lake St Building B New Britain CT 06052-1396 | |
| (860) 224-2419 | |
| (860) 224-3095 |
| Full Name | Pediatric Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1 Lake St, New Britain, Connecticut |
| Authorized Official Name and Position | Walter Fred Thal (PRESIDENT) |
| Authorized Official Contact | 8602242419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry, P.c. 1 Lake St Building B New Britain CT 06052-1396 Ph: (860) 224-2419 | Pediatric Dentistry, P.c. 1 Lake St Building B New Britain CT 06052-1396 Ph: (860) 224-2419 |
| NPI Number | 1396898847 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396898847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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