Pure Dental PC
Dentist, General Practice in Farmington, CT. Organization (NPI-2).
NPI number1003200569
StatusActive
Last updated in NPPESMar 23, 2015
Details
- NPI
- 1003200569
- Entity type
- Organization (NPI-2)
- Legal business name
- Pure Dental PC
- Organization subpart
- No
- Enumeration date
- Mar 23, 2015
- Last updated
- Mar 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 010827 | CT | Yes |
Practice location
2 Forest Park Dr Ste 1Farmington, CT 06032-1446
Phone 860-558-4473
Mailing address
2 Forest Park Dr Ste 1Farmington, CT 06032-1446
Phone 860-558-4473
Authorized official
Yuriy May
Owner
8605584473
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