NPI 1124355060

Ajlr Dental Associates PC

Organisation General Practice Dentistry Waterford, CT

Practice location

Address: 909 Hartford Tpke D5, Waterford, CT 06385-4267
Phone: (860) 440-0700
Mailing address: PO Box 3189, Syracuse, NY 13220-3189

Authorised official

Name: Richard Frank
Title: Owner
Phone: (866) 273-8204

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 009716 (CT)

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Registry record

NPI: 1124355060
Entity type: Organization
NPI issued: 13 Nov 2009
Record last updated: 13 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.