NPI | 1922571942 |
---|---|
Doing Business As | WATERVIEW DENTAL GROUP CT |
Doing Business As | WATERVIEW DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | RUPESH PANDEY President 860-342-4141 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2019-01-03 |
Last Update Date | 2022-07-22 |