Organization
WEST HARTFORD FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY W. SHAKUN D.M.D. (PRESIDENT)
(860) 233-0552
Entity
Organization
Contact information
Practice address
342 N MAIN ST, SUITE # 300, WEST HARTFORD, CT 06117-2500
(860) 233-0552
(860) 233-9614
Mailing address
342 N MAIN ST, SUITE # 300, WEST HARTFORD, CT 06117-2500
(860) 233-0552
(860) 233-9614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CT
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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