Individual
DR. MIGUEL DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
112 SOUTH WHITNEY ST, HARTFORD, CT 06105
(860) 247-5930
(860) 232-3266
Mailing address
112 SOUTH WHITNEY ST, HARTFORD, CT 06105
(860) 247-5930
(860) 232-3266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007741
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002077411
—
CT
Enumeration date
12/21/2006
Last updated
10/03/2011
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