| The Maria Seymour Brooker Memorial, Inc. | |
|
157 Litchfield St Torrington CT 06790-6427 | |
| (860) 489-1328 | |
| (860) 489-4761 |
| Full Name | The Maria Seymour Brooker Memorial, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 157 Litchfield St, Torrington, Connecticut |
| Authorized Official Name and Position | Cathy L Coyle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8604823012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Maria Seymour Brooker Memorial, Inc. 157 Litchfield St Torrington CT 06790-6427 Ph: (860) 489-1328 | The Maria Seymour Brooker Memorial, Inc. 157 Litchfield St Torrington CT 06790-6427 Ph: (860) 489-1328 |
| NPI Number | 1225196702 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 01/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225196702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 009025 (Connecticut) | Primary |
| 261QD0000X | Clinic/center - Dental | 009025 (Connecticut) | Secondary |
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