| Manchester Family Dental Llc | |
|
945 Main St Ste 302 Manchester CT 06040-6064 | |
| (860) 643-5350 | |
| (860) 646-5807 |
| Full Name | Manchester Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 945 Main St Ste 302, Manchester, Connecticut |
| Authorized Official Name and Position | Bradley J. Daar (PRESIDENT/ OWNER) |
| Authorized Official Contact | 8606435350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Family Dental Llc 945 Main St Ste 302 Manchester CT 06040-6064 Ph: (860) 643-5350 | Manchester Family Dental Llc 945 Main St Ste 302 Manchester CT 06040-6064 Ph: (860) 643-5350 |
| NPI Number | 1326317827 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326317827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6252 (Connecticut) | Primary |
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