Organization
WEST HARTFORD MAXILLOFACIAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA P FRONTERA DDS, MDS (PRESIDENT)
(860) 232-4606
Entity
Organization
Contact information
Practice address
928 FARMINGTON AVE, WEST HARTFORD, CT 06107-2227
(860) 232-4606
(860) 233-8352
Mailing address
928 FARMINGTON AVE, WEST HARTFORD, CT 06107-2227
(860) 232-4606
(860) 233-8352
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
008367
CT
Other
Enumeration date
06/20/2007
Last updated
07/23/2007
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