| Grand Dental | |
|
262 Grand Ave New Haven CT 06513-3723 | |
| (203) 691-6145 | |
| (203) 691-5515 |
| Full Name | Grand Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 262 Grand Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Iffat Nazneen (DENTIST/OWNER) |
| Authorized Official Contact | 2036916145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Dental 262 Grand Ave New Haven CT 06513-3723 Ph: (203) 691-6145 | Grand Dental 262 Grand Ave New Haven CT 06513-3723 Ph: (203) 691-6145 |
| NPI Number | 1275884991 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275884991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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