Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI # | 1023423399 |
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| LBN Legal business name | HOUSATONIC VALLEY DENTAL CARE | ||||||||
| Authorized official | JOHN DANNON - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/25/2014 | ||||||||
| Last updated | 06/25/2014 - About 12 years ago | ||||||||
| Identifiers |
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