| Charter Oak Dental Center Llc | |
|
330 Main St Hartford CT 06106-1860 | |
| (860) 899-2804 | |
| (860) 899-2803 |
| Full Name | Charter Oak Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 330 Main St, Hartford, Connecticut |
| Authorized Official Name and Position | Shakil U Syed (OWNER/MEMBER) |
| Authorized Official Contact | 8608992804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charter Oak Dental Center Llc 330 Main St Hartford CT 06106-1860 Ph: (860) 899-2804 | Charter Oak Dental Center Llc 330 Main St Hartford CT 06106-1860 Ph: (860) 899-2804 |
| NPI Number | 1548635899 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548635899 | NPI | - | NPPES |
| 11063 | Other | CT | CONNECTICUT DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11063 (Connecticut) | Primary |
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