| Aspen Dental Of Greater Hartford, Pc | |
|
1128 Farmington Ave Bristol CT 06010-4752 | |
| (860) 585-1716 | |
| Not Available |
| Full Name | Aspen Dental Of Greater Hartford, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1128 Farmington Ave, Bristol, Connecticut |
| Authorized Official Name and Position | Yutdhasak Kjornrattanawanich (MCD) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Of Greater Hartford, Pc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Aspen Dental Of Greater Hartford, Pc 1128 Farmington Ave Bristol CT 06010-4752 Ph: (860) 585-1716 |
| NPI Number | 1215154067 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215154067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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