| Dental Services Of South Windsor, Llc | |
|
479 Buckland Road South Windsor CT 06074-3515 | |
| (860) 648-4471 | |
| (860) 648-0181 |
| Full Name | Dental Services Of South Windsor, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 479 Buckland Road, South Windsor, Connecticut |
| Authorized Official Name and Position | Gregory Bruce Haroian (OWNER/MEMBER DENTIST) |
| Authorized Official Contact | 8602894955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Services Of South Windsor, Llc 479 Buckland Rd South Windsor CT 06074-3739 Ph: (860) 648-4471 | Dental Services Of South Windsor, Llc 479 Buckland Road South Windsor CT 06074-3515 Ph: (860) 648-4471 |
| NPI Number | 1750302980 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750302980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6350 (Connecticut) | Primary |
| 1223G0001X | Dentist - General Practice | 9300 (Connecticut) | Secondary |
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