Aspen Dental Of Southern Ct, Pc | |
293 Boston Post Rd Orange CT 06477-3520 | |
(203) 795-4772 | |
Not Available |
Full Name | Aspen Dental Of Southern Ct, Pc |
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Speciality | Dentist - General Practice |
Location | 293 Boston Post Rd, Orange, Connecticut |
Authorized Official Name and Position | Joo Lee (MCD) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aspen Dental Of Southern Ct, Pc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Aspen Dental Of Southern Ct, Pc 293 Boston Post Rd Orange CT 06477-3520 Ph: (203) 795-4772 |
NPI Number | 1134346992 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1134346992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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