New Hartford Dental
Dentist, General Practice in New Hartford, CT. Organization (NPI-2).
NPI number1013125814
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1013125814
- Entity type
- Organization (NPI-2)
- Legal business name
- New Hartford Dental
- Organization subpart
- No
- Enumeration date
- May 18, 2007
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | CT | Yes |
Practice location
512 Main StreetNew Hartford, CT 06057
Phone 860-379-0408 · Fax 860-379-0408
Mailing address
37 Simsbury Manor DrWeatogue, CT 06089-9709
Phone 860-379-0408 · Fax 860-379-0408
Authorized official
Carlos Braverman
Ceo
8603790408
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