Organization
NEW AGE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELZBIETA W BASIL DMD (OWNER)
(860) 561-2121
Entity
Organization
Contact information
Practice address
10 N MAIN ST, SUITE 220, WEST HARTFORD, CT 06107-1968
(860) 561-2121
(860) 561-4327
Mailing address
10 N MAIN ST, SUITE 220, WEST HARTFORD, CT 06107-1968
(860) 561-2121
(860) 561-4327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008510
CT
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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