Organization
MANCHESTER FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J. DAAR DDS MS (PRESIDENT/ OWNER)
(860) 643-5350
Entity
Organization
Contact information
Practice address
945 MAIN ST STE 302, MANCHESTER, CT 06040-6064
(860) 643-5350
(860) 646-5807
Mailing address
945 MAIN ST STE 302, MANCHESTER, CT 06040-6064
(860) 643-5350
(860) 646-5807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6252
CT
Other
Enumeration date
12/29/2011
Last updated
11/18/2016
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