Organization
CONTEMPORARY GENERAL DENTISTRY, LLC
Active
Other names
Contemporary General Dentistry, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA NGUYEN (OFFICE MANAGER)
(860) 236-8000
Entity
Organization
Contact information
Practice address
836 FARMINGTON AVE STE 215, WEST HARTFORD, CT 06119-1544
(860) 236-8000
(860) 236-9205
Mailing address
836 FARMINGTON AVE STE 215, WEST HARTFORD, CT 06119-1544
(860) 236-8000
(860) 236-9205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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