| Ikon Dental Group Llc | |
|
58 W Main St Ste 1 Plainville CT 06062-1993 | |
| (860) 400-0196 | |
| (860) 400-0198 |
| Full Name | Ikon Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 58 W Main St Ste 1, Plainville, Connecticut |
| Authorized Official Name and Position | Izaz Khan (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 8607701780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikon Dental Group Llc 58 W Main St Ste 1 Plainville CT 06062-1993 Ph: () - | Ikon Dental Group Llc 58 W Main St Ste 1 Plainville CT 06062-1993 Ph: (860) 400-0196 |
| NPI Number | 1063922581 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063922581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Connecticut) | Primary |
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