Organization · Type 2 NPI

Bethany SR PLLC

Dental Clinic/Center · Redding, CT

NPI number 1104450956 Active

Practice location

2 Long Ridge Rd
Redding, CT 06896-1111

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1104450956

Bethany SR PLLC's National Provider Identifier is 1104450956, issued on Mar 1, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Redding, CT. The record was last updated on Mar 1, 2020.