Esthetic Dental Group LLC
NPI #1619375813 in Suffield, Connecticut
Provider Information
- NPI Number
- 1619375813
- Entity Type
- Organization
- Organization Name
- Esthetic Dental Group LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 21, 2014
- Last Updated
- Dec 21, 2014
Practice Location
- Address
- 24 LISE CIR
- City
- Suffield
- State
- Connecticut
- ZIP Code
- 06078-1381
- Phone
- (860) 956-5311
Authorized Official
- Name
- DR. SACHIN VIRMANI, DDS
- Title
- MEMBER OF LLC
- Phone
- (860) 956-5311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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