Organization
FARMINGTON 1067 LLC
Active
Other names
Cosmic Dental World
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISAKO SEIGNEMARTIN DDS (DENTIST)
(860) 438-6696
Entity
Organization
Contact information
Practice address
1067 FARMINGTON AVE, BERLIN, CT 06037-2244
(860) 438-6696
Mailing address
1067 FARMINGTON AVE, BERLIN, CT 06037-2244
(860) 438-6696
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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