| The Little Tooth Company Pediatric Dentistry Llc | |
|
264 Queen St Suite A Southington CT 06489-1901 | |
| (617) 872-5105 | |
| Not Available |
| Full Name | The Little Tooth Company Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 264 Queen St, Southington, Connecticut |
| Authorized Official Name and Position | Jason Leung (OWNER) |
| Authorized Official Contact | 8604262643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Little Tooth Company Pediatric Dentistry Llc 264 Queen St Suite A Southington CT 06489-1901 Ph: (617) 872-5105 | The Little Tooth Company Pediatric Dentistry Llc 264 Queen St Suite A Southington CT 06489-1901 Ph: (617) 872-5105 |
| NPI Number | 1023569654 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023569654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9915 (Connecticut) | Primary |
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