Organization
CONNECTICUT EAST DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J KHAN (BUSINESS MANAGER)
(860) 875-5989
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE STE 210, VERNON, CT 06066-4759
(860) 875-5989
Mailing address
281 HARTFORD TPKE STE 210, VERNON, CT 06066-4759
(860) 875-5989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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