| Salmonbrook Dental Associates, L.l.c. | |
|
33 Hartford Ave Granby CT 06035-2309 | |
| (860) 653-4551 | |
| Not Available |
| Full Name | Salmonbrook Dental Associates, L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 33 Hartford Ave, Granby, Connecticut |
| Authorized Official Name and Position | Kenneth Endres (PRINCIPAL) |
| Authorized Official Contact | 8606534551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salmonbrook Dental Associates, L.l.c. 33 Hartford Ave Granby CT 06035-2309 Ph: (860) 653-4551 | Salmonbrook Dental Associates, L.l.c. 33 Hartford Ave Granby CT 06035-2309 Ph: (860) 653-4551 |
| NPI Number | 1831323435 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831323435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6542 (Connecticut) | Primary |
Granby Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 East Granby Rd., Granby, CT 06035 Phone: 860-653-7596 Fax: 860-653-9536 |