Organization
DENTAL SERVICES OF SOUTH WINDSOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BRUCE HAROIAN DMD (OWNER/MEMBER DENTIST)
(860) 289-4955
Entity
Organization
Contact information
Practice address
479 BUCKLAND ROAD, SOUTH WINDSOR, CT 06074-3515
(860) 648-4471
(860) 648-0181
Mailing address
479 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3739
(860) 648-4471
(860) 648-0181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6350
CT
1223G0001X
General Practice Dentistry
9300
CT
Other
Enumeration date
07/22/2006
Last updated
08/18/2008
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