| West Hartford Implant Denitistry, Oral And Facial Surgery Center | |
|
483 Middle Tpke W Manchester CT 06040-3863 | |
| (860) 649-2272 | |
| (860) 533-1010 |
| Full Name | West Hartford Implant Denitistry, Oral And Facial Surgery Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 483 Middle Tpke W, Manchester, Connecticut |
| Authorized Official Name and Position | Ryaz Ansari (MANAGER) |
| Authorized Official Contact | 8602324606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Hartford Implant Denitistry, Oral And Facial Surgery Center 928 Farmington Ave West Hartford CT 06107-2227 Ph: (860) 232-4606 | West Hartford Implant Denitistry, Oral And Facial Surgery Center 483 Middle Tpke W Manchester CT 06040-3863 Ph: (860) 649-2272 |
| NPI Number | 1811387863 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811387863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 009050 (Connecticut) | Primary |
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Columbia Oral Maxillofacial Imaging Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Middle Tpke W, Manchester, CT 06040 Phone: 860-645-0111 | |
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