| New Age Dental Llc | |
|
10 N Main St Suite 220 West Hartford CT 06107-1968 | |
| (860) 561-2121 | |
| (860) 561-4327 |
| Full Name | New Age Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 N Main St, West Hartford, Connecticut |
| Authorized Official Name and Position | Elzbieta W Basil (OWNER) |
| Authorized Official Contact | 8605612121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Dental Llc 10 N Main St Suite 220 West Hartford CT 06107-1968 Ph: (860) 561-2121 | New Age Dental Llc 10 N Main St Suite 220 West Hartford CT 06107-1968 Ph: (860) 561-2121 |
| NPI Number | 1558745539 |
|---|---|
| Provider Enumeration Date | 07/19/2015 |
| Last Update Date | 07/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558745539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008510 (Connecticut) | Primary |
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