Coventry Oral and Implant Surgery Pllc
NPI #1811686322 in Coventry, Connecticut
Provider Information
- NPI Number
- 1811686322
- Entity Type
- Organization
- Organization Name
- Coventry Oral and Implant Surgery Pllc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 2, 2023
- Last Updated
- May 2, 2023
Practice Location
- Address
- 1572 BOSTON TPKE
- City
- Coventry
- State
- Connecticut
- ZIP Code
- 06238-1205
- Phone
- (860) 649-2272
Authorized Official
- Name
- DR. RYAZ ANSARI, DDS
- Title
- OWNER
- Phone
- (860) 649-2272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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