| Resolute Cross Road Llc | |
|
112 Cross Rd Waterford CT 06385-1204 | |
| (860) 447-1787 | |
| Not Available |
| Full Name | Resolute Cross Road Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 112 Cross 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 Cross Road Llc 112 Cross Rd Waterford CT 06385-1204 Ph: (860) 447-1787 | Resolute Cross Road Llc 112 Cross Rd Waterford CT 06385-1204 Ph: (860) 447-1787 |
| NPI Number | 1730644212 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730644212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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