Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 7889 | CT |
NPI | 1083762272 |
---|---|
Provider Name | Dr. Dennis Wayne Sindel |
First Address | Waterford, CT 06385 |
Second Address | Waterford, CT 06385 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 03/08/2010 |