Anjali Banerjee Dmd Pllc | |
490 S Broad St Ste 19 Meriden CT 06450 | |
(203) 237-1000 | |
Not Available |
Full Name | Anjali Banerjee Dmd Pllc |
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Speciality | Dentist - General Practice |
Location | 490 S Broad St, Meriden, Connecticut |
Authorized Official Name and Position | Kia Williams (PROVIDER ENROLLMENT TEAM LEAD) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anjali Banerjee Dmd Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Anjali Banerjee Dmd Pllc 490 S Broad St Ste 19 Meriden CT 06450 Ph: (203) 237-1000 |
NPI Number | 1619791001 |
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Provider Enumeration Date | 11/12/2024 |
Last Update Date | 11/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619791001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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