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Lindawatti Hermawan
General Practice Dentistry in New London, Connecticut
NPI 1720658545

Lindawatti Hermawan is a General Practice Dentistry based in Woodside, CT and is specialized in General Practice. Lindawatti Hermawan practices in New London, CT. The NPI Number for Lindawatti Hermawan is 1720658545 and holds a License No. 13169 (Connecticut).

The current practice location address for Lindawatti Hermawan is 258 S Frontage Rd, New London, CT and can be reached out via phone at 860-437-3462.

Location: 258 S Frontage Rd, New London, CT, 11377-3974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720658545
Provider Name
Lindawatti Hermawan
Credential
Provider Entity Type
Individual
Gender
Female
Address
258 S Frontage Rd, New London, CT, 11377-3974
Phone Number
860-437-3462
Fax Number
Provider Enumeration Date
06/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
258 S Frontage Rd
City
New London
State
Connecticut
Zip
06320-2641
Phone Number
860-437-3462
Fax Number
person
Provider Business Mailing Address Details
Address
258 S Frontage Rd
City
New London
State
Connecticut
Zip
06320-2641
Phone Number
860-437-3462
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13169 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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