| Terryville Family Dental, Llc | |
|
14 Maple St Terryville CT 06786-5220 | |
| (860) 853-3582 | |
| (860) 582-8654 |
| Full Name | Terryville Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14 Maple St, Terryville, Connecticut |
| Authorized Official Name and Position | Kosha Shah (OWNER) |
| Authorized Official Contact | 8605833582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terryville Family Dental, Llc 14 Maple St Terryville CT 06786-5220 Ph: (860) 853-3582 | Terryville Family Dental, Llc 14 Maple St Terryville CT 06786-5220 Ph: (860) 853-3582 |
| NPI Number | 1831645167 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831645167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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