| Charter Oak Dental Center Ll Llc | |
|
165 East Main Street New Britain CT 06051 | |
| (860) 224-0797 | |
| (860) 224-0799 |
| Full Name | Charter Oak Dental Center Ll Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 165 East Main Street, New Britain, Connecticut |
| Authorized Official Name and Position | Angelina Blankschen (ADMINISTRATOR) |
| Authorized Official Contact | 8609970569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charter Oak Dental Center Ll Llc 165 East Main Street New Britain CT 06051 Ph: (860) 224-0797 | Charter Oak Dental Center Ll Llc 165 East Main Street New Britain CT 06051 Ph: (860) 224-0797 |
| NPI Number | 1619440732 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 01/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619440732 | NPI | - | NPPES |
| 11063 | Other | CT | CONNECTICUT DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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