Hospital Dental Group Dds Pc

NPI 1417389636 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1417389636
Enumeration Date 07/31/2013
Last Updated 07/31/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANATOLIY ANATOLIY
Position OWNER
Phone (860) 524-5194
Fax (860) 349-4571
Practice Location
85 SEYMOUR ST
SUITE 922
HARTFORD CT, 06106-5501, US
Phone (860) 524-5194
Fax (860) 349-4571
Business Location
85 SEYMOUR ST
SUITE 922
HARTFORD CT, 06106-5501, US
Phone (860) 524-5194
Fax (860) 349-4571
Toxanomy
Taxonomy Code 320700000X
License State Connecticut
License Number 008890
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According to our database, Hospital Dental Group Dds Pc NPI is 1417389636, taxonomy code is 320700000X and license number is 008890, license state is located at Connecticut. Hospital Dental Group Dds Pc physically located at 85 Seymour St, Hartford CT, 06106-5501. NPI Number 1033115704 has the healthcare provider type.

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1417389636 NPI number is provided on an as is basis without warranty of any kind. 1417389636 is maintained by the National Plan & Provider Enumeration System. The contents of Hospital Dental Group Dds Pc are for informational purposes only.