| Glastonbury Family Dental Pc | |
|
2450 Main St Ste 1 Glastonbury CT 06033-2041 | |
| (860) 633-6246 | |
| (860) 633-1808 |
| Full Name | Glastonbury Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2450 Main St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Jeffrey A Cohan (PRESIDENT) |
| Authorized Official Contact | 8606336246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glastonbury Family Dental Pc 2450 Main St Ste 1 Glastonbury CT 06033-2041 Ph: (860) 633-6246 | Glastonbury Family Dental Pc 2450 Main St Ste 1 Glastonbury CT 06033-2041 Ph: (860) 633-6246 |
| NPI Number | 1447596408 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 12/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447596408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008288 (Connecticut) | Primary |
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