New Age Dental LLC
NPI #1558745539 in West Hartford, Connecticut
Provider Information
- NPI Number
- 1558745539
- Entity Type
- Organization
- Organization Name
- New Age Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 19, 2015
- Last Updated
- Jul 19, 2015
Practice Location
- Address
- 10 N MAIN ST
- Address 2
- SUITE 220
- City
- West Hartford
- State
- Connecticut
- ZIP Code
- 06107-1968
- Phone
- (860) 561-2121
Authorized Official
- Name
- ELZBIETA W BASIL, DMD
- Title
- OWNER
- Phone
- (860) 561-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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