| Westfarms Mall Dental L.l.p | |
|
213 Westfarms Mall Suite 204a Farmington CT 06032-2615 | |
| (860) 676-2828 | |
| Not Available |
| Full Name | Westfarms Mall Dental L.l.p |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 Westfarms Mall, Farmington, Connecticut |
| Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
| Authorized Official Contact | 8606762828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westfarms Mall Dental L.l.p 213 Westfarms Mall Suite 204a Farmington CT 06032-2633 Ph: (860) 676-2828 | Westfarms Mall Dental L.l.p 213 Westfarms Mall Suite 204a Farmington CT 06032-2615 Ph: (860) 676-2828 |
| NPI Number | 1841486610 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841486610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008698 (Connecticut) | Primary |
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