Organization
FAMILY DENTISTRY OF HARTFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE PADILLA (MANAGER)
(203) 751-9657
Entity
Organization
Contact information
Practice address
19 WOODLAND ST STE 25, HARTFORD, CT 06105-2335
(860) 247-2532
Mailing address
19 WOODLAND ST STE 25, HARTFORD, CT 06105-2335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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