Hartford Family Dentist LLC
NPI #1902683071 in Hartford, Connecticut
Provider Information
- NPI Number
- 1902683071
- Entity Type
- Organization
- Organization Name
- Hartford Family Dentist LLC
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Sep 12, 2023
- Last Updated
- Sep 21, 2023
Practice Location
- Address
- 778 BROAD ST
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06106-4689
- Phone
- (860) 525-7459
Authorized Official
- Name
- MOHAMMADREZA GHORBANIPARVAR, DDS
- Title
- MEMBER
- Phone
- (607) 206-8462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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