Charter Oak Dental Center Ll LLC
NPI #1619440732 in New Britain, Connecticut
Provider Information
- NPI Number
- 1619440732
- Entity Type
- Organization
- Organization Name
- Charter Oak Dental Center Ll LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 11, 2019
- Last Updated
- Jan 11, 2019
Practice Location
- Address
- 165 EAST MAIN STREET
- City
- New Britain
- State
- Connecticut
- ZIP Code
- 06051
- Phone
- (860) 224-0797
Authorized Official
- Name
- ANGELINA BLANKSCHEN
- Title
- ADMINISTRATOR
- Phone
- (860) 997-0569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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