| NPI | 1548339864 |
|---|---|
| Doing Business As | WINDHAM DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NICOLINA SOUCY General Manager 860-456-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |