| Berlin Implant Dentistry Oral And Facial Surgery Center P.c. | |
|
5 Webster Square Rd Berlin CT 06037-2326 | |
| (860) 828-3559 | |
| Not Available |
| Full Name | Berlin Implant Dentistry Oral And Facial Surgery Center P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5 Webster Square Rd, Berlin, Connecticut |
| Authorized Official Name and Position | Ryaz Ansari (OWNER) |
| Authorized Official Contact | 8606492272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berlin Implant Dentistry Oral And Facial Surgery Center P.c. 483 Middle Tpke W Ste 102 Manchester CT 06040-3864 Ph: (860) 649-2272 | Berlin Implant Dentistry Oral And Facial Surgery Center P.c. 5 Webster Square Rd Berlin CT 06037-2326 Ph: (860) 828-3559 |
| NPI Number | 1710650841 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710650841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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