ADVANCED DENTAL OF WALLINGFORD LLC

WALLINGFORD, CT
NPI1942808084
Entity TypeOrganization
Authorized ContactRYAN KU
Owner
713-591-5434
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-10-12
Last Update Date2020-10-12
Business Address
ADVANCED DENTAL OF WALLINGFORD LLC
44 FAIR ST
WALLINGFORD, CT 06492-4214
Phone number: 713-591-5434
Mailing Address
ADVANCED DENTAL OF WALLINGFORD LLC
910 BOSTON POST RD OFC
WEST HAVEN, CT 06516-1845
Phone number: 713-591-5434