Berlin Implant Dentistry Oral And Facial Surgery Center P.c. | |
5 Webster Square Rd Berlin CT 06037-2326 | |
(860) 828-3559 | |
Not Available |
Full Name | Berlin Implant Dentistry Oral And Facial Surgery Center P.c. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 5 Webster Square Rd, Berlin, Connecticut |
Authorized Official Name and Position | Ryaz Ansari (OWNER) |
Authorized Official Contact | 8606492272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Berlin Implant Dentistry Oral And Facial Surgery Center P.c. 483 Middle Tpke W Ste 102 Manchester CT 06040-3864 Ph: (860) 649-2272 | Berlin Implant Dentistry Oral And Facial Surgery Center P.c. 5 Webster Square Rd Berlin CT 06037-2326 Ph: (860) 828-3559 |
NPI Number | 1710650841 |
---|---|
Provider Enumeration Date | 07/26/2021 |
Last Update Date | 07/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710650841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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