West Hartford Maxillofacial Surgery, Pc | |
928 Farmington Ave West Hartford CT 06107-2227 | |
(860) 232-4606 | |
(860) 233-8352 |
Full Name | West Hartford Maxillofacial Surgery, Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 928 Farmington Ave, West Hartford, Connecticut |
Authorized Official Name and Position | Yolanda P Frontera (PRESIDENT) |
Authorized Official Contact | 8602324606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Hartford Maxillofacial Surgery, Pc 928 Farmington Ave West Hartford CT 06107-2227 Ph: (860) 232-4606 | West Hartford Maxillofacial Surgery, Pc 928 Farmington Ave West Hartford CT 06107-2227 Ph: (860) 232-4606 |
NPI Number | 1407051238 |
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Provider Enumeration Date | 06/20/2007 |
Last Update Date | 07/23/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407051238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 008367 (Connecticut) | Primary |
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