Merritt Dental Care Llc | |
399 Main Ave #622 Norwalk CT 06851-1554 | |
(551) 404-1207 | |
Not Available |
Full Name | Merritt Dental Care Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 399 Main Ave, Norwalk, Connecticut |
Authorized Official Name and Position | Prasanna Ravuri (OWNER) |
Authorized Official Contact | 5514041207 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Merritt Dental Care Llc 399 Main Ave #622 Norwalk CT 06851-1554 Ph: () - | Merritt Dental Care Llc 399 Main Ave #622 Norwalk CT 06851-1554 Ph: (551) 404-1207 |
NPI Number | 1407115801 |
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Provider Enumeration Date | 05/07/2012 |
Last Update Date | 05/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407115801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 010278 (Connecticut) | Primary |
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