| NPI | 1477793412 |
|---|---|
| Doing Business As | WATERVIEW DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DIANE DEVRIES Financial Manager 860-342-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009785) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-17 |