| Glastonbury Implant Dentistry Oral And Facial Surgury Center Pc | |
|
131 New London Tpke Glastonbury CT 06033-2246 | |
| (860) 649-7374 | |
| Not Available |
| Full Name | Glastonbury Implant Dentistry Oral And Facial Surgury Center Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 131 New London Tpke, Glastonbury, Connecticut |
| Authorized Official Name and Position | Ryaz Ansari (OWNER) |
| Authorized Official Contact | 8606497374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glastonbury Implant Dentistry Oral And Facial Surgury Center Pc 483 Middle Tpke W Ste 102 Manchester CT 06040-3864 Ph: (860) 649-2272 | Glastonbury Implant Dentistry Oral And Facial Surgury Center Pc 131 New London Tpke Glastonbury CT 06033-2246 Ph: (860) 649-7374 |
| NPI Number | 1407455538 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407455538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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