Organization
HORIZON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHIT MODI DMD (OWNER)
(860) 329-6539
Entity
Organization
Contact information
Practice address
685 QUEEN ST, UNIT 3, SOUTHINGTON, CT 06489-1547
(617) 306-0017
Mailing address
685 QUEEN ST STE 3, SOUTHINGTON, CT 06489-1547
(860) 863-5831
(860) 863-5832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
02/07/2019
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