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1942808084
ADVANCED DENTAL OF WALLINGFORD LLC
WALLINGFORD, CT
NPI
1942808084
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Entity Type
Organization
Authorized Contact
RYAN KU
Owner
713-591-5434
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
ADVANCED DENTAL OF WALLINGFORD LLC
44 FAIR ST
WALLINGFORD, CT 06492-4214
Phone number: 713-591-5434
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Mailing Address
ADVANCED DENTAL OF WALLINGFORD LLC
910 BOSTON POST RD OFC
WEST HAVEN, CT 06516-1845
Phone number: 713-591-5434
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