| NPI | 1730637703 |
|---|---|
| Doing Business As | CLINTON FAMILY DENTISTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | RICHARD PANAGROSSI Owner 860-669-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 7503) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 8902) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |