| Pure Dental Pc | |
|
2 Forest Park Dr Ste 1 Farmington CT 06032-1446 | |
| (860) 558-4473 | |
| Not Available |
| Full Name | Pure Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Forest Park Dr Ste 1, Farmington, Connecticut |
| Authorized Official Name and Position | Yuriy May (OWNER) |
| Authorized Official Contact | 8605584473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Dental Pc 2 Forest Park Dr Ste 1 Farmington CT 06032-1446 Ph: (860) 558-4473 | Pure Dental Pc 2 Forest Park Dr Ste 1 Farmington CT 06032-1446 Ph: (860) 558-4473 |
| NPI Number | 1003200569 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003200569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010827 (Connecticut) | Primary |
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