Dental & Vision Associates | |
1402 Berlin Tpke Wethersfield CT 06109-1010 | |
(860) 956-1396 | |
Not Available |
Full Name | Dental & Vision Associates |
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Speciality | Dentist - General Practice |
Location | 1402 Berlin Tpke, Wethersfield, Connecticut |
Authorized Official Name and Position | James Nguyen (OWNER DENTIST) |
Authorized Official Contact | 8609561396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental & Vision Associates 1402 Berlin Turnpike Wethersfield CT 06109 Ph: (860) 956-1396 | Dental & Vision Associates 1402 Berlin Tpke Wethersfield CT 06109-1010 Ph: (860) 956-1396 |
NPI Number | 1255561346 |
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Provider Enumeration Date | 07/23/2009 |
Last Update Date | 02/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255561346 | NPI | - | NPPES |
9130 | Other | CT | STATE LICENSE |
002091304 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9130 (Connecticut) | Primary |
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