| Hartford Family Dentist Llc | |
|
778 Broad St Hartford CT 06106-4689 | |
| (860) 525-7459 | |
| Not Available |
| Full Name | Hartford Family Dentist Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 778 Broad St, Hartford, Connecticut |
| Authorized Official Name and Position | Mohammadreza Ghorbaniparvar (MEMBER) |
| Authorized Official Contact | 6072068462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartford Family Dentist Llc 44 Strawberry Hill Ave Ste 9 Stamford CT 06902-2632 Ph: (607) 206-8462 | Hartford Family Dentist Llc 778 Broad St Hartford CT 06106-4689 Ph: (860) 525-7459 |
| NPI Number | 1902683071 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902683071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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