| NPI | 1811387863 |
|---|---|
| Other Name | WEST HARTFORD IMPLANT DENITISTRY, ORAL AND FACIAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RYAZ ANSARI Manager 860-232-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 009050) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |