West Hartford Family Dentistry
NPI #1487838330 in West Hartford, Connecticut
Provider Information
- NPI Number
- 1487838330
- Entity Type
- Organization
- Organization Name
- West Hartford Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 27, 2007
- Last Updated
- Dec 27, 2007
Practice Location
- Address
- 342 N MAIN ST
- Address 2
- SUITE # 300
- City
- West Hartford
- State
- Connecticut
- ZIP Code
- 06117-2500
- Phone
- (860) 233-0552
Authorized Official
- Name
- ROY W. SHAKUN, D.M.D.
- Title
- PRESIDENT
- Phone
- (860) 233-0552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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