Mobile Dental Care Associate Llc | |
55 Sargent Drive Bethany CT 06524-3135 | |
(475) 238-8165 | |
(475) 655-2967 |
Full Name | Mobile Dental Care Associate Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 55 Sargent Drive, Bethany, Connecticut |
Authorized Official Name and Position | Michael Young (DENTIST/OWNER) |
Authorized Official Contact | 4752388165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mobile Dental Care Associate Llc 55 Sargent Drive Bethany CT 06524-3135 Ph: (475) 238-8165 | Mobile Dental Care Associate Llc 55 Sargent Drive Bethany CT 06524-3135 Ph: (475) 238-8165 |
NPI Number | 1609416999 |
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Provider Enumeration Date | 01/14/2020 |
Last Update Date | 01/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609416999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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