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Organization

WEST HARTFORD ORAL AND IMPLANT SURGERY PLLC

Active
Other names
West Hartford Implant Denitistry, Oral and Facial Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
LISA HARRISON (BUSINESS MANAGER)
(860) 646-2272
Entity
Organization

Contact information

Practice address
483 MIDDLE TPKE W, MANCHESTER, CT 06040-3863
(860) 649-2272
(860) 533-1010
Mailing address
483 MIDDLE TURNPIKE WEST, SUITE 102, MANCHESTER, CT 06040-3864
(860) 232-4606
(860) 233-8359

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
261QD0000X
Dental Clinic/Center
009050
CT

Other

Enumeration date
01/29/2015
Last updated
09/04/2025
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