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Organization
DENTAL SERVICES OF SOUTH WINDSOR, LLC
Active
Organization
DENTAL SERVICES OF SOUTH WINDSOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BRUCE HAROIAN DMD (OWNER/MEMBER DENTIST)
(860) 289-4955
Entity
Organization
Contact information
Practice address
479 BUCKLAND ROAD, SOUTH WINDSOR, CT 06074-3515
(860) 648-4471
(860) 648-0181
Mailing address
479 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3739
(860) 648-4471
(860) 648-0181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6350
CT
1223G0001X
General Practice Dentistry
9300
CT
Other
Enumeration date
07/22/2006
Last updated
08/18/2008
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