Columbia Implant Center LLC
NPI #1093502312 in Manchester, Connecticut
Provider Information
- NPI Number
- 1093502312
- Entity Type
- Organization
- Organization Name
- Columbia Implant Center LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 483 MIDDLE TPKE W STE 309
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-3865
- Phone
- (860) 645-0111
Authorized Official
- Name
- ABBAS MOHAMMADI, DDS
- Title
- OWNER
- Phone
- (860) 985-2458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Endodontics — Endodontics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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