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1083971212
KEVIN PURVIANCE DMD LLC
WEST HARTFORD, CT
NPI
1083971212
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Entity Type
Organization
Authorized Contact
KEVIN PURVIANCE
Owner
860-256-2566
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CT 9313)
Enumeration Date
2012-04-12
Last Update Date
2012-04-12
Business Address
KEVIN PURVIANCE DMD LLC
61 S MAIN ST SUITE 301
WEST HARTFORD, CT 06107-2486
Phone number: 860-236-2566
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Mailing Address
KEVIN PURVIANCE DMD LLC
61 S MAIN ST SUITE 301
WEST HARTFORD, CT 06107-2486
Phone number: 860-236-2566
Copy
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