| Comprehensive Geriatric Dental Care Llc | |
|
971 Marshall Phelps Rd Windsor CT 06095-2163 | |
| (860) 558-5330 | |
| Not Available |
| Full Name | Comprehensive Geriatric Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 971 Marshall Phelps Rd, Windsor, Connecticut |
| Authorized Official Name and Position | Gordon Holder (OWNER) |
| Authorized Official Contact | 8605585330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Geriatric Dental Care Llc 971 Marshall Phelps Rd Windsor CT 06095-2163 Ph: (860) 558-5330 | Comprehensive Geriatric Dental Care Llc 971 Marshall Phelps Rd Windsor CT 06095-2163 Ph: (860) 558-5330 |
| NPI Number | 1659601557 |
|---|---|
| Provider Enumeration Date | 12/28/2009 |
| Last Update Date | 12/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659601557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6512 (Connecticut) | Primary |
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