| Nedg-avon Pllc | |
|
1216 Farmington Ave Ste 201 West Hartford CT 06107-2673 | |
| (860) 561-4378 | |
| (860) 561-4384 |
| Full Name | Nedg-avon Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1216 Farmington Ave Ste 201, West Hartford, Connecticut |
| Authorized Official Name and Position | Alicia Laclair (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5082816464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nedg-avon Pllc 257 Turnpike Rd Ste 110 Southborough MA 01772-1791 Ph: (508) 281-6464 | Nedg-avon Pllc 1216 Farmington Ave Ste 201 West Hartford CT 06107-2673 Ph: (860) 561-4378 |
| NPI Number | 1629760244 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629760244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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