KADEEM BARTLEY
Individual Provider (NPI-1)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1720473267- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 697 POQUONOCK AVE, WINDSOR, CT, 060952249
- Phone
- (860) 219-0933
- Fax
- (860) 219-1482
Specialties & Taxonomies
Dentist
License: NY #059451-1
Dentist, General Practice
License: NY #059451-1
Student in an Organized Health Care Education/Training Program
Dentist, Pediatric Dentistry
Primary License: CT #12443