| Tribury Dental, Llc | |
|
714 Chase Pkwy Waterbury CT 06708-3012 | |
| (203) 574-1725 | |
| Not Available |
| Full Name | Tribury Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 714 Chase Pkwy, Waterbury, Connecticut |
| Authorized Official Name and Position | Nicole H Mariano (OWNER) |
| Authorized Official Contact | 2035741725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribury Dental, Llc 20 Woodside Ave Middlebury CT 06762-2857 Ph: (203) 574-1725 | Tribury Dental, Llc 714 Chase Pkwy Waterbury CT 06708-3012 Ph: (203) 574-1725 |
| NPI Number | 1831594910 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831594910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10890 (Connecticut) | Primary |
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