| Compassion Dental 06032 Llc | |
|
218 Main St Farmington CT 06032-2959 | |
| (860) 470-3660 | |
| Not Available |
| Full Name | Compassion Dental 06032 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 218 Main St, Farmington, Connecticut |
| Authorized Official Name and Position | Jennifer A Diederich (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8606450111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Dental 06032 Llc 218 Main St Farmington CT 06032-2959 Ph: () - | Compassion Dental 06032 Llc 218 Main St Farmington CT 06032-2959 Ph: (860) 470-3660 |
| NPI Number | 1225756125 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225756125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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