Organization
FAMILY DENTISTRY OF HARTFORD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BASS DMD (SOLE OWNER)
(203) 733-0574
Entity
Organization
Contact information
Practice address
18 MADISON ST, HARTFORD, CT 06106-2324
(860) 206-4960
Mailing address
18 MADISON ST, HARTFORD, CT 06106-2324
(860) 206-4960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5569
CT
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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