Organization
NFD
Active
Other names
Nayaug Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDRA YASEEN DDS (OWNER)
(860) 633-6167
Entity
Organization
Contact information
Practice address
875 MAIN ST, SOUTH GLASTONBURY, CT 06073-2218
(860) 633-6167
Mailing address
14 PASTURE LN, SOUTH GLASTONBURY, CT 06073-2322
(484) 664-9623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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