| Tercel Dental Pllc | |
|
643 Gold Star Hwy. Groton CT 06340 | |
| (860) 445-8569 | |
| (860) 446-8434 |
| Full Name | Tercel Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 643 Gold Star Hwy., Groton, Connecticut |
| Authorized Official Name and Position | Leslie L. Matzdorff (OFFICE MANAGER) |
| Authorized Official Contact | 8604458569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tercel Dental Pllc 643 Gold Star Hwy. Groton CT 06340 Ph: (860) 445-8569 | Tercel Dental Pllc 643 Gold Star Hwy. Groton CT 06340 Ph: (860) 445-8569 |
| NPI Number | 1538674262 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538674262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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