Park Street Family Dental
Park Street Family Dental provides General Practice Dentistry in Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2011.
- Licensed in
- CT
- In the registry since
- 2011
Practice location Address checks out
454 Park StHartford, CT 06106-1525 Not confirmed with CMS for 14 years — call before visiting
Phone: (860) 944-2802
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 010554 (CT) |
|---|
Record details
| NPI number | 1518234079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Krishnaprasanth Mudusu — Owner · (860) 944-2802 |
| NPI enumerated | November 28, 2011 |
| Last updated in NPPES | November 28, 2011 |
| Mailing address | 454 Park St, Hartford, CT 06106-1525 |
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