Organization
OM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR SALAS D.M.D (MEMBER)
(860) 224-9956
Entity
Organization
Contact information
Practice address
35 PEARL ST, SUITE 1B 2B, NEW BRITAIN, CT 06051-2644
(860) 224-9956
(860) 224-2511
Mailing address
35 PEARL ST, SUITE 1B 2B, NEW BRITAIN, CT 06051-2644
(860) 224-9956
(860) 224-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011040
CT
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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