| Modern Dental, Inc | |
|
740 N Main St West Hartford CT 06117-2480 | |
| (860) 232-3866 | |
| (860) 232-3621 |
| Full Name | Modern Dental, Inc |
|---|---|
| Speciality | Dentist |
| Location | 740 N Main St, West Hartford, Connecticut |
| Authorized Official Name and Position | Elaine M Babineau (OFFICE MANAGER) |
| Authorized Official Contact | 8603955200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental, Inc 740 N Main St West Hartford CT 06117-2480 Ph: (860) 232-3866 | Modern Dental, Inc 740 N Main St West Hartford CT 06117-2480 Ph: (860) 232-3866 |
| NPI Number | 1609009588 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609009588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 008680 (Connecticut) | Primary |
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