Family Dental Practice Of Bloomfield

NPI 1114048519 - Dentist - 1223G0001X

NPI Details
NPI 1114048519
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HEIDI B HEIDI
Position DENTAL ADMINISTRATOR
Phone (860) 242-5594
Fax
Practice Location
3 NORTHWESTERN DR
BLOOMFIELD CT, 06002-3465, US
Phone (860) 242-5594
Fax
Business Location
3 NORTHWESTERN DR
BLOOMFIELD CT, 06002-3465, US
Phone (860) 242-5594
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1114048519 NPI Number
 

According to our database, Family Dental Practice Of Bloomfield NPI is 1114048519, taxonomy code is 1223G0001X Family Dental Practice Of Bloomfield physically located at 3 Northwestern Dr, Bloomfield CT, 06002-3465. NPI Number 1033115704 has the healthcare provider type.

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1114048519 NPI number is provided on an as is basis without warranty of any kind. 1114048519 is maintained by the National Plan & Provider Enumeration System. The contents of Family Dental Practice Of Bloomfield are for informational purposes only.