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1215313754
OM DENTAL LLC
NEW BRITAIN, CT
NPI
1215313754
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Entity Type
Organization
Authorized Contact
EDGAR SALAS
Member
860-224-9956
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 011040)
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
OM DENTAL LLC
35 PEARL ST SUITE 1B 2B
NEW BRITAIN, CT 06051-2644
Phone number: 860-224-9956
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Mailing Address
OM DENTAL LLC
35 PEARL ST SUITE 1B 2B
NEW BRITAIN, CT 06051-2644
Phone number: 860-224-9956
Copy
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