Organization
FARMINGTON AVENUE DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE STAPLE (OFFICE MANAGER)
(860) 232-9002
Entity
Organization
Contact information
Practice address
576 FARMINGTON AVE, HARTFORD, CT 06105-3015
(860) 232-9002
(860) 523-9097
Mailing address
576 FARMINGTON AVE, HARTFORD, CT 06105-3015
(860) 232-9002
(860) 523-9097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7279
CT
Other
Enumeration date
05/17/2007
Last updated
12/05/2012
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