Organization
ESTHETIC DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SACHIN VIRMANI DDS (MEMBER OF LLC)
(860) 956-5311
Entity
Organization
Contact information
Practice address
24 LISE CIR, SUFFIELD, CT 06078-1381
(860) 956-5311
Mailing address
550 FARMINGTON AVE, HARTFORD, CT 06105-3040
(860) 956-5311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010564
CT
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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