Simsbury Pediatric & Adolescent Dentistry, Llc | |
381 Hopmeadow St Suite 202 Weatogue CT 06089-9692 | |
(860) 658-7548 | |
(860) 658-7516 |
Full Name | Simsbury Pediatric & Adolescent Dentistry, Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 381 Hopmeadow St, Weatogue, Connecticut |
Authorized Official Name and Position | Maryam Azadpur (DENTIST, OWNER) |
Authorized Official Contact | 8606587548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Simsbury Pediatric & Adolescent Dentistry, Llc 381 Hopmeadow St Suite 202 Weatogue CT 06089-9692 Ph: (860) 658-7548 | Simsbury Pediatric & Adolescent Dentistry, Llc 381 Hopmeadow St Suite 202 Weatogue CT 06089-9692 Ph: (860) 658-7548 |
NPI Number | 1922122332 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1922122332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 007907 (Connecticut) | Primary |