| Waterford Dental Associates Pc | |
|
815 Hartford Tpke Waterford CT 06385-4201 | |
| (860) 444-0625 | |
| (860) 442-7740 |
| Full Name | Waterford Dental Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 815 Hartford Tpke, Waterford, Connecticut |
| Authorized Official Name and Position | Vincent S Cianciulli (PRESIDENT) |
| Authorized Official Contact | 8604440625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Dental Associates Pc 815 Hartford Tpke Waterford CT 06385-4201 Ph: (860) 444-0625 | Waterford Dental Associates Pc 815 Hartford Tpke Waterford CT 06385-4201 Ph: (860) 444-0625 |
| NPI Number | 1720083934 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 12/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720083934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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