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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dentist |
122300000X | |||
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X |
| NPI Number | 1013191212 |
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| LBN Legal business name | CONNECTICUT DENTAL ASSOCIATES PC | ||||
| Authorized official | MICHAEL WIENER - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/24/2007 | ||||
| Last updated | 11/13/2012 - About 14 years ago | ||||
| Identifiers |
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CONNECTICUT DENTAL ASSOCIATES PC