| Dr Ronald Preis | |
|
778 Broad St Hartford CT 06106-4619 | |
| (860) 525-7459 | |
| (860) 244-9846 |
| Full Name | Dr Ronald Preis |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 778 Broad St, Hartford, Connecticut |
| Authorized Official Name and Position | Ronald Preis (OWNER) |
| Authorized Official Contact | 8605257459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald Preis 778 Broad St Hartford CT 06106-4619 Ph: (860) 525-7459 | Dr Ronald Preis 778 Broad St Hartford CT 06106-4619 Ph: (860) 525-7459 |
| NPI Number | 1427477884 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 05/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427477884 | NPI | - | NPPES |
| 002058501 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5650 (Connecticut) | Primary |
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