| Grace Tylo Llc | |
|
35 Cold Spring Rd Ste 324 Rocky Hill CT 06067-3163 | |
| (860) 563-3330 | |
| (860) 563-3058 |
| Full Name | Grace Tylo Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35 Cold Spring Rd Ste 324, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Grace Lo (DENTIST) |
| Authorized Official Contact | 8605633330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Tylo Llc 35 Cold Spring Rd Rocky Hill CT 06067-3160 Ph: () - | Grace Tylo Llc 35 Cold Spring Rd Ste 324 Rocky Hill CT 06067-3163 Ph: (860) 563-3330 |
| NPI Number | 1740756345 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740756345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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