Dental Services of South Windsor, LLC
NPI #1750302980 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1750302980
- Entity Type
- Organization
- Organization Name
- Dental Services of South Windsor, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Aug 18, 2008
Practice Location
- Address
- 479 BUCKLAND ROAD
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074-3515
- Phone
- (860) 648-4471
Authorized Official
- Name
- DR. GREGORY BRUCE HAROIAN, DMD
- Title
- OWNER/MEMBER DENTIST
- Phone
- (860) 289-4955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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