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1982034658
FAIR HAVEN DENTAL LLC
NEW HAVEN, CT
NPI
1982034658
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Entity Type
Organization
Authorized Contact
SANDEEP JAGINI
Member
617-306-0017
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2013-11-17
Last Update Date
2013-11-17
Business Address
FAIR HAVEN DENTAL LLC
214 GRAND AVE
NEW HAVEN, CT 06513-3721
Phone number: 860-863-5831
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Mailing Address
FAIR HAVEN DENTAL LLC
685 QUEEN ST SUITE 3
SOUTHINGTON, CT 06489-1547
Phone number: 860-863-5831
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