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NPI 1740418219

NPI 1740418219 : SENSITIVE CARE COSMETIC & FAMILY DENTISTRY LLC : MILFORD, CT

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General NPI Number Information
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    NPI Number           |    1740418219
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    Entity Type          |    Organization 
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    Legal Business Name  |    SENSITIVE CARE COSMETIC & FAMILY DENTISTRY LLC 
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Dates
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    Enumeration Date     |    06/23/2009
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    Last Update Date     |    06/23/2009
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Provider Practice Location Address
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    Address Line         |    55 OLD GATE LN 
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    City                 |    MILFORD
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    State                |    CT
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    Zip                  |    06460-3652
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    Country              |    US
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    Telephone            |    203-878-6699
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    Fax                  |    203-878-0061
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Provider Business Mailing Address
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    Address Line         |    55 OLD GATE LN 
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    City                 |    MILFORD
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    State                |    CT
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    Zip                  |    06460-3652
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    Country              |    US
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    Telephone            |    203-878-6699
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    Fax                  |    203-878-0061
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |    DR. MITCHELL I QUINTNER 
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    Credential           |    DMD
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    Telephone            |    203-878-6699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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