Connecticut Dental Professionals, P.c. | |
111 East Ave Ste 200 Norwalk CT 06851-5014 | |
(203) 866-8585 | |
Not Available |
Full Name | Connecticut Dental Professionals, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 111 East Ave Ste 200, Norwalk, Connecticut |
Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175406078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Connecticut Dental Professionals, P.c. 111 East Ave Ste 200 Norwalk CT 06851-5014 Ph: () - | Connecticut Dental Professionals, P.c. 111 East Ave Ste 200 Norwalk CT 06851-5014 Ph: (203) 866-8585 |
NPI Number | 1104387489 |
---|---|
Provider Enumeration Date | 03/28/2019 |
Last Update Date | 03/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104387489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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