| Albany Avenue Dental Group, Llc | |
|
1000 Albany Ave Hartford CT 06112-2312 | |
| (860) 493-0653 | |
| (860) 493-0654 |
| Full Name | Albany Avenue Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1000 Albany Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Carlos A Henriquez (MEMBER) |
| Authorized Official Contact | 8604930653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albany Avenue Dental Group, Llc 1000 Albany Ave Hartford CT 06112-2312 Ph: (860) 493-0653 | Albany Avenue Dental Group, Llc 1000 Albany Ave Hartford CT 06112-2312 Ph: (860) 493-0653 |
| NPI Number | 1821369968 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 01/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821369968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010641 (Connecticut) | Primary |
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