| Clover Dental Care Llc | |
|
1209 S Broad St Wallingford CT 06492-1714 | |
| (203) 934-3400 | |
| Not Available |
| Full Name | Clover Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1209 S Broad St, Wallingford, Connecticut |
| Authorized Official Name and Position | Ryan Ku (MEMBER) |
| Authorized Official Contact | 7135915434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Dental Care Llc 1209 S Broad St Wallingford CT 06492-1714 Ph: (203) 934-3400 | Clover Dental Care Llc 1209 S Broad St Wallingford CT 06492-1714 Ph: (203) 934-3400 |
| NPI Number | 1194431056 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194431056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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