| Braces Of Connecticut, Pc | |
|
415 Broad St Meriden CT 06450-5839 | |
| (203) 440-9449 | |
| Not Available |
| Full Name | Braces Of Connecticut, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 415 Broad St, Meriden, Connecticut |
| Authorized Official Name and Position | Jordan Lissauer (PRESIDENT) |
| Authorized Official Contact | 2034409449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braces Of Connecticut, Pc 415 Broad St Meriden CT 06450-5839 Ph: (203) 440-9449 | Braces Of Connecticut, Pc 415 Broad St Meriden CT 06450-5839 Ph: (203) 440-9449 |
| NPI Number | 1245671551 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245671551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Connecticut) | Primary |
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