Organization
HOSPITAL DENTAL GROUP DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANATOLIY RAVIN DDS (OWNER)
(860) 524-5194
Entity
Organization
Contact information
Practice address
85 SEYMOUR ST, SUITE 922, HARTFORD, CT 06106-5501
(860) 524-5194
(860) 349-4571
Mailing address
85 SEYMOUR ST, SUITE 922, HARTFORD, CT 06106-5501
(860) 524-5194
(860) 349-4571
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
008890
CT
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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