Om Dental LLC
Dentist, General Practice in New Britain, CT. Organization (NPI-2).
NPI number1215313754
StatusActive
Last updated in NPPESAug 6, 2015
Details
- NPI
- 1215313754
- Entity type
- Organization (NPI-2)
- Legal business name
- Om Dental LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2015
- Last updated
- Aug 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 011040 | CT | Yes |
Practice location
35 Pearl StSuite 1b 2b
New Britain, CT 06051-2644
Phone 860-224-9956 · Fax 860-224-2511
Mailing address
35 Pearl StSuite 1b 2b
New Britain, CT 06051-2644
Phone 860-224-9956 · Fax 860-224-2511
Authorized official
Edgar Salas
Member
8602249956
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