NPI | 1982837845 |
---|---|
Doing Business As | WINTONBURY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ALPHONSO L MACK President 860-243-5451 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 005845) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2011-06-01 |