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Contact Information

A&G FAMILY DENTISTRY PC
1127 W MAIN ST
STE 2A
WATERBURY, CT06708-2764
 Phone: 203-573-9989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AG FAMILY DENTISTRY PC · (Female)

NPI # 1790078418
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2011
Last updated 05/27/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 010091
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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