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Organization

EAST HARTFORD ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY DIXON D.D.S. (OWNER)
(860) 289-9397
Entity
Organization

Contact information

Practice address
477 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3268
(860) 289-9397
Mailing address
477 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3268

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010256
CT

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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