Provider Demographics
NPI:1528592581
Name:CONFI DENTAL LLC
Entity Type:Organization
Organization Name:CONFI DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNEET
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:NANDA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:646-943-0690
Mailing Address - Street 1:1200 PARK ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2259
Mailing Address - Country:US
Mailing Address - Phone:860-951-3800
Mailing Address - Fax:
Practice Address - Street 1:850 N MAIN STREET EXT
Practice Address - Street 2:STE 1-A
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2400
Practice Address - Country:US
Practice Address - Phone:203-949-1701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010668122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty