Organization
RICHARD J. FAIRBROTHER, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA C FAIRBROTHER (PRACTICE MANAGER)
(860) 232-2000
Entity
Organization
Contact information
Practice address
69 SOUTH MAIN ST, WEST HARTFORD, CT 06107-2410
(860) 232-2000
(860) 233-8842
Mailing address
69 SOUTH MAIN ST, WEST HARTFORD, CT 06107-2410
(860) 232-2000
(860) 233-8842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
003683
CT
1223G0001X
General Practice Dentistry
005785
CT
Other
Enumeration date
02/08/2007
Last updated
02/05/2020
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