Nfd

NPI #1124643986 in South Glastonbury, Connecticut

Provider Information

NPI Number: 1124643986
Entity Type: Organization
Organization Name: Nfd
Primary Specialty: Dentist
Enumeration Date: Jun 8, 2020
Last Updated: Jun 8, 2020

Practice Location

Address: 875 MAIN ST
City: South Glastonbury
State: Connecticut
ZIP Code: 06073-2218
Phone: (860) 633-6167

Authorized Official

Name: DR. SIDRA YASEEN, DDS
Title: OWNER
Phone: (860) 633-6167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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