| NPI | 1548502750 |
|---|---|
| Former Legal Business Name | KIDS DENTAL CARE WINDSOR LLC |
| Entity Type | Organization |
| Authorized Contact | SALEH AKBAR Operations Manager 860-219-0932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT P07893) |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CT 006903) | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223G0001X Dentist, General Practice | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 11249) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-07-21 |