DENTAL GROUP OF HARTFORD PC
Restricted
DENTAL GROUP OF HARTFORD PC is subject to Restricted. See the individual lists below.
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Addresses
Address 1 : 18 Madison Street, Hartford, CT, 06106
Address 2 : 18 MADISON STREET
ID Details
ID NUMBER : 1396051165
ID TYPE : NPI
View Notes
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DENTAL GROUP OF HARTFORD PC Sanctioned By Below Authorities
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| U.S. Department of Health and Human Services | Jun 3, 2015 | active |
| U.S. Other Government Agencies | Jun 3, 2015 | active |
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