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Magicland Pediatric Dental Llc
Pediatric Dentist in Waterbury, Connecticut
NPI 1033622246

Magicland Pediatric Dental Llc is a Pediatric Dentist based in East Hartford, CT and is specialized in Pediatric Dentistry. Magicland Pediatric Dental Llc practices in Waterbury, CT. The NPI Number for Magicland Pediatric Dental Llc is 1033622246 and holds a License No. 010110 (Connecticut).

The current practice location address for Magicland Pediatric Dental Llc is 815 Wolcott St, Waterbury, CT and can be reached out via phone at 860-282-0630.

Location: 815 Wolcott St, Waterbury, CT, 06108-2294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033622246
Provider Name
Magicland Pediatric Dental Llc
Credential
Provider Entity Type
Organization
Address
815 Wolcott St, Waterbury, CT, 06108-2294
Phone Number
860-282-0630
Fax Number
Provider Enumeration Date
11/09/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008004605 05 CT
institution
Provider Business Practice Location Address Details
Address
815 Wolcott St
City
Waterbury
State
Connecticut
Zip
06705-1301
Phone Number
860-282-0630
Fax Number
person
Provider Business Mailing Address Details
Address
815 Wolcott St
City
Waterbury
State
Connecticut
Zip
06705-1301
Phone Number
860-282-0630
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
010110 (Connecticut)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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