| Farmington 1067 Llc | |
|
1067 Farmington Ave Berlin CT 06037-2244 | |
| (860) 438-6696 | |
| Not Available |
| Full Name | Farmington 1067 Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1067 Farmington Ave, Berlin, Connecticut |
| Authorized Official Name and Position | Hisako Seignemartin (DENTIST) |
| Authorized Official Contact | 8604386696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington 1067 Llc 1067 Farmington Ave Berlin CT 06037-2244 Ph: (860) 438-6696 | Farmington 1067 Llc 1067 Farmington Ave Berlin CT 06037-2244 Ph: (860) 438-6696 |
| NPI Number | 1831878487 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831878487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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