Organization
TOOTH & GUMS DENTISTRY
Active
Other names
Tooth & Gumz
Organization subpart
No
Provider details
NPI number
Authorized official
AVIRAL CHANDRA DMD (OWNER)
(860) 293-2003
Entity
Organization
Contact information
Practice address
1500 ALBANY AVE, HARTFORD, CT 06112-2113
(860) 293-2003
(860) 293-2007
Mailing address
1500 ALBANY AVE, HARTFORD, CT 06112-2113
(860) 293-2003
(860) 293-2007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010554
CT
Other
Enumeration date
07/10/2013
Last updated
11/07/2013
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