Organization
GLASTONBURY FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A COHAN DMD (PRESIDENT)
(860) 633-6246
Entity
Organization
Contact information
Practice address
2450 MAIN ST, STE 1, GLASTONBURY, CT 06033-2041
(860) 633-6246
(860) 633-1808
Mailing address
2450 MAIN ST, STE 1, GLASTONBURY, CT 06033-2041
(860) 633-6246
(860) 633-1808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008288
CT
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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