| Brookfieldfamilydentalart | |
|
2 Old New Milford Road Suite 3 A Brookfield CT 06804 | |
| (203) 740-1014 | |
| (203) 740-1016 |
| Full Name | Brookfieldfamilydentalart |
|---|---|
| Speciality | Dentist |
| Location | 2 Old New Milford Road, Brookfield, Connecticut |
| Authorized Official Name and Position | Rawa Hassan (DOCTOR) |
| Authorized Official Contact | 2037401014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookfieldfamilydentalart 2 Old New Milford Road Suite 3 A Brookfield CT 06804 Ph: (203) 740-1014 | Brookfieldfamilydentalart 2 Old New Milford Road Suite 3 A Brookfield CT 06804 Ph: (203) 740-1014 |
| NPI Number | 1366649188 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366649188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9194 (Connecticut) | Primary |
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