| Resolute Bpw, Llc | |
|
256 Boston Post Rd Waterford CT 06385-2054 | |
| (860) 443-2428 | |
| Not Available |
| Full Name | Resolute Bpw, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 256 Boston Post Rd, Waterford, Connecticut |
| Authorized Official Name and Position | Gregory A Toback (OWNER) |
| Authorized Official Contact | 8604432428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolute Bpw, Llc 190 Hempstead St New London CT 06320-6248 Ph: (860) 443-2428 | Resolute Bpw, Llc 256 Boston Post Rd Waterford CT 06385-2054 Ph: (860) 443-2428 |
| NPI Number | 1801446869 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801446869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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