| Willow Tree Pediatric Dentistry, Pllc | |
|
35 Corporate Dr Ste 110 Trumbull CT 06611-6319 | |
| (203) 220-6000 | |
| (203) 220-6010 |
| Full Name | Willow Tree Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 35 Corporate Dr Ste 110, Trumbull, Connecticut |
| Authorized Official Name and Position | Martin Thomas Berger (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 2022206000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Pediatric Dentistry, Pllc 35 Corporate Dr Ste 110 Trumbull CT 06611-6319 Ph: (203) 220-6000 | Willow Tree Pediatric Dentistry, Pllc 35 Corporate Dr Ste 110 Trumbull CT 06611-6319 Ph: (203) 220-6000 |
| NPI Number | 1336864750 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336864750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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