| Elite Dental Care | |
|
24 Grassy Plain St Bethel CT 06801-1700 | |
| (203) 616-5786 | |
| Not Available |
| Full Name | Elite Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 24 Grassy Plain St, Bethel, Connecticut |
| Authorized Official Name and Position | Sujata Pradhan-peck (OWNER) |
| Authorized Official Contact | 2036165786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Care 24 Grassy Plain St Bethel CT 06801-1700 Ph: (203) 616-5786 | Elite Dental Care 24 Grassy Plain St Bethel CT 06801-1700 Ph: (203) 616-5786 |
| NPI Number | 1679960280 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679960280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010774 (Connecticut) | Primary |
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› Verified 6 days ago
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