| Mohan Llc | |
|
721 Norwich Rd Plainfield CT 06374-1734 | |
| (408) 391-6024 | |
| Not Available |
| Full Name | Mohan Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 721 Norwich Rd, Plainfield, Connecticut |
| Authorized Official Name and Position | Manik Mohan (OWNER/MEMBER) |
| Authorized Official Contact | 4083916024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohan Llc 285 Plantation St Apt #328 Worcester MA 01604-7701 Ph: () - | Mohan Llc 721 Norwich Rd Plainfield CT 06374-1734 Ph: (408) 391-6024 |
| NPI Number | 1912305301 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912305301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11055 (Connecticut) | Primary |
Walter D. Fonfara, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 542 Norwich Rd, Plainfield, CT 06374 Phone: 860-564-1689 Fax: 860-564-1848 |