| Fair Haven Dental Llc | |
|
214 Grand Ave New Haven CT 06513-3721 | |
| (860) 863-5831 | |
| Not Available |
| Full Name | Fair Haven Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 Grand Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Sandeep Jagini (MEMBER) |
| Authorized Official Contact | 6173060017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Haven Dental Llc 685 Queen St Suite 3 Southington CT 06489-1547 Ph: (860) 863-5831 | Fair Haven Dental Llc 214 Grand Ave New Haven CT 06513-3721 Ph: (860) 863-5831 |
| NPI Number | 1982034658 |
|---|---|
| Provider Enumeration Date | 11/17/2013 |
| Last Update Date | 11/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982034658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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