Fedorciw And Massoumi Llc | |
26 Shunpike Rd Cromwell CT 06416-2442 | |
(860) 635-4666 | |
(860) 635-3621 |
Full Name | Fedorciw And Massoumi Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 26 Shunpike Rd, Cromwell, Connecticut |
Authorized Official Name and Position | Mehran Massoumi (OWNER) |
Authorized Official Contact | 8606354666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fedorciw And Massoumi Llc 26 Shunpike Rd Cromwell CT 06416-2442 Ph: (860) 635-4666 | Fedorciw And Massoumi Llc 26 Shunpike Rd Cromwell CT 06416-2442 Ph: (860) 635-4666 |
NPI Number | 1396866927 |
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Provider Enumeration Date | 04/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396866927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 8806 (Connecticut) | Primary |
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