| Radianz Dental Pc | |
|
1212 Main St Unit B Willimantic CT 06226-1908 | |
| (860) 576-8329 | |
| Not Available |
| Full Name | Radianz Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1212 Main St Unit B, Willimantic, Connecticut |
| Authorized Official Name and Position | Adesh Chawla (PRESIDENT) |
| Authorized Official Contact | 8605768329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radianz Dental Pc 1212 Main St Unit B Willimantic CT 06226-1908 Ph: () - | Radianz Dental Pc 1212 Main St Unit B Willimantic CT 06226-1908 Ph: (860) 576-8329 |
| NPI Number | 1194267781 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194267781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010203 (Connecticut) | Primary |
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