| Blue Back Dental Llc | |
|
65 Memorial Rd Ste 400 West Hartford CT 06107-4219 | |
| (860) 233-9300 | |
| (860) 233-9304 |
| Full Name | Blue Back Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 65 Memorial Rd Ste 400, West Hartford, Connecticut |
| Authorized Official Name and Position | Kirsten E Capozzi (PRACTICE MANAGER) |
| Authorized Official Contact | 8602339300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Back Dental Llc 65 Memorial Rd Ste 400 West Hartford CT 06107-4219 Ph: (860) 233-9300 | Blue Back Dental Llc 65 Memorial Rd Ste 400 West Hartford CT 06107-4219 Ph: (860) 233-9300 |
| NPI Number | 1174814495 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174814495 | NPI | - | NPPES |
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