| Bethany Sr Pllc | |
|
2 Long Ridge Rd Redding CT 06896-1111 | |
| (203) 664-1994 | |
| Not Available |
| Full Name | Bethany Sr Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 Long Ridge Rd, Redding, Connecticut |
| Authorized Official Name and Position | Sean Lee (OFFICER) |
| Authorized Official Contact | 9493943378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Sr Pllc 2 Long Ridge Rd Redding CT 06896-1111 Ph: (203) 664-1994 | Bethany Sr Pllc 2 Long Ridge Rd Redding CT 06896-1111 Ph: (203) 664-1994 |
| NPI Number | 1104450956 |
|---|---|
| Provider Enumeration Date | 03/01/2020 |
| Last Update Date | 03/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104450956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |