Nfd | |
875 Main St South Glastonbury CT 06073-2218 | |
(860) 633-6167 | |
Not Available |
Full Name | Nfd |
---|---|
Speciality | Dentist |
Location | 875 Main St, South Glastonbury, Connecticut |
Authorized Official Name and Position | Sidra Yaseen (OWNER) |
Authorized Official Contact | 8606336167 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nfd 14 Pasture Ln South Glastonbury CT 06073-2322 Ph: (484) 664-9623 | Nfd 875 Main St South Glastonbury CT 06073-2218 Ph: (860) 633-6167 |
NPI Number | 1124643986 |
---|---|
Provider Enumeration Date | 06/08/2020 |
Last Update Date | 06/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124643986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |