Avon Wellness Center Dental Associates Pc | |
100 Simsbury Rd Suite 201 Avon CT 06001 | |
(860) 606-0066 | |
(860) 606-0071 |
Full Name | Avon Wellness Center Dental Associates Pc |
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Speciality | Dentist - General Practice |
Location | 100 Simsbury Rd, Avon, Connecticut |
Authorized Official Name and Position | Gerard Francis Graham (PRESIDENT) |
Authorized Official Contact | 8606060066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avon Wellness Center Dental Associates Pc 100 Simsbury Rd Suite 201 Avon CT 06001 Ph: (860) 606-0066 | Avon Wellness Center Dental Associates Pc 100 Simsbury Rd Suite 201 Avon CT 06001 Ph: (860) 606-0066 |
NPI Number | 1295877678 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295877678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5745 (Connecticut) | Primary |
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