Organization
DR RONALD PREIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD PREIS D.M.D. (OWNER)
(860) 525-7459
Entity
Organization
Contact information
Practice address
778 BROAD ST, HARTFORD, CT 06106-4619
(860) 525-7459
(860) 244-9846
Mailing address
778 BROAD ST, HARTFORD, CT 06106-4619
(860) 525-7459
(860) 244-9846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5650
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002058501
—
CT
Enumeration date
04/14/2014
Last updated
05/16/2014
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