Organization
KANWARPAL SINGH DDS LLC
Active
Other names
Manchester Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANWARPAL SINGH DDS (SOLE OWNER)
(954) 798-0320
Entity
Organization
Contact information
Practice address
419 MIDDLE TPKE W, MANCHESTER, CT 06040-3833
(954) 798-0320
Mailing address
419 MIDDLE TPKE W, MANCHESTER, CT 06040-3833
(954) 798-0320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10315
CT
1223G0001X
General Practice Dentistry
10315
CT
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017936
—
CT
Enumeration date
09/12/2014
Last updated
02/27/2024
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