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Sph2 Enterprise, LLC

Dentist, General Practice in Hartford, CT. Organization (NPI-2).

NPI number1245569748
StatusActive
Last updated in NPPESJun 17, 2014

Details

NPI
1245569748
Entity type
Organization (NPI-2)
Legal business name
Sph2 Enterprise, LLC
Organization subpart
No
Enumeration date
Dec 11, 2009
Last updated
Jun 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice9846CTYes
1223G0001X Dentist, General PracticeCT009846CT
1223G0001X Dentist, General PracticeCT009785CT
1223G0001X Dentist, General PracticeCt009920CT
1223P0106X Dentist, Oral and Maxillofacial Pathology–CT
1223P0221X Dentist, Pediatric Dentistry–CT
1223S0112X Dentist, Oral and Maxillofacial Surgery––

Other names

  • Care Dental Center (Doing Business As)

Practice location

191 Franklin Ave
Hartford, CT 06114

Phone 860-296-7460 · Fax 860-296-7459

Mailing address

191 Franklin Ave
Hartford, CT 06114

Phone 860-296-7460 · Fax 860-296-7459

Authorized official

Diane Devries
Business Manager
8603424141

Is something wrong?

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