| Crystal Clear Family Dentistry Of Ct | |
|
330 Main St Hartford CT 06106-1860 | |
| (860) 899-2804 | |
| Not Available |
| Full Name | Crystal Clear Family Dentistry Of Ct |
|---|---|
| Speciality | Dentist |
| Location | 330 Main St, Hartford, Connecticut |
| Authorized Official Name and Position | Sarah Mekonnen (OWNER) |
| Authorized Official Contact | 8608992804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Clear Family Dentistry Of Ct 330 Main St Hartford CT 06106-1860 Ph: (860) 899-2804 | Crystal Clear Family Dentistry Of Ct 330 Main St Hartford CT 06106-1860 Ph: (860) 899-2804 |
| NPI Number | 1932580347 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932580347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010370 (Connecticut) | Primary |
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