Organization
HARTFORD FAMILY DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMADREZA GHORBANIPARVAR DDS (MEMBER)
(607) 206-8462
Entity
Organization
Contact information
Practice address
778 BROAD ST, HARTFORD, CT 06106-4689
(860) 525-7459
Mailing address
44 STRAWBERRY HILL AVE STE 9, STAMFORD, CT 06902-2632
(607) 206-8462
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/21/2023
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