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1174512255
MOISES YLDEFONSO SALAS
HARTFORD, CT
NPI
1174512255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CT 009212)
Enumeration Date
2005-10-20
Last Update Date
2010-11-18
Business Address
-- MOISES YLDEFONSO SALAS D.D.S, M.P.H
21 GRAND ST
HARTFORD, CT 06106-1541
Phone number: 860-550-7500
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Mailing Address
-- MOISES YLDEFONSO SALAS D.D.S, M.P.H
53 OAK RIDGE LN
WEST HARTFORD, CT 06107-3506
Phone number: 860-985-9459
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