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1104450956
BETHANY SR PLLC
REDDING, CT
NPI
1104450956
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Entity Type
Organization
Authorized Contact
SEAN LEE
Officer
949-394-3378
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-03-01
Last Update Date
2020-03-01
Business Address
BETHANY SR PLLC
2 LONG RIDGE RD
REDDING, CT 06896-1111
Phone number: 203-664-1994
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Mailing Address
BETHANY SR PLLC
2 LONG RIDGE RD
REDDING, CT 06896-1111
Phone number: 203-664-1994
Copy
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