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Organization

DR. DENTAL OF WEST HARTFORD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN MARTI (MANAGER)
(508) 353-3565
Entity
Organization

Contact information

Practice address
18 KANE ST, WEST HARTFORD, CT 06119-2109
(860) 585-9000
Mailing address
18 KANE ST, WEST HARTFORD, CT 06119-2109
(860) 585-9000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10025
CT

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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