Dr Ronald Preis
Dentist, General Practice in Hartford, CT. Organization (NPI-2).
NPI number1427477884
StatusActive
Last updated in NPPESMay 16, 2014
Details
- NPI
- 1427477884
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Ronald Preis
- Organization subpart
- No
- Enumeration date
- Apr 14, 2014
- Last updated
- May 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5650 | CT | Yes |
Practice location
778 Broad StHartford, CT 06106-4619
Phone 860-525-7459 · Fax 860-244-9846
Mailing address
778 Broad StHartford, CT 06106-4619
Phone 860-525-7459 · Fax 860-244-9846
Authorized official
Ronald Preis
Owner
8605257459
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