Individual
DR. ELZBIETA W BASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 N MAIN ST STE 220, WEST HARTFORD, CT 06107-1941
(860) 561-2121
Mailing address
47 MOUNTAIN FARMS RD, WEST HARTFORD, CT 06117-1838
(860) 561-2121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008510
CT
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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