Organization
NEW: BERLIN ORAL AND IMPLANT SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAZ ANSARI D.D.S. (OWNER/OMS)
(860) 649-0227
Entity
Organization
Contact information
Practice address
5 WEBSTER SQUARE, BERLIN, CT 06037-2326
(860) 828-3559
Mailing address
483 MIDDLE TPKE W STE 102, MANCHESTER, CT 06040-3864
(860) 649-2272
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
06/16/2025
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