NPI 1417389636

Hospital Dental Group DDS PC

Organisation Physical Disabilities Residential Treatment Facility Hartford, CT

Practice location

Address: 85 Seymour St Suite 922, Hartford, CT 06106-5501
Phone: (860) 524-5194
Fax: (860) 349-4571

Authorised official

Name: Anatoliy Ravin
Title: Owner
Phone: (860) 524-5194

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 008890 (CT)

Other Residential Treatment Facility, Physical Disabilities providers in Connecticut →

Registry record

NPI: 1417389636
Entity type: Organization
NPI issued: 31 Jul 2013
Record last updated: 31 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.