| Cloverleaf Dental Center, Llc | |
|
1064 E Main St Ste 102 Meriden CT 06450-4898 | |
| (203) 634-8727 | |
| Not Available |
| Full Name | Cloverleaf Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1064 E Main St Ste 102, Meriden, Connecticut |
| Authorized Official Name and Position | Vidya Sorrentini-irizarry (OWNER) |
| Authorized Official Contact | 2036348727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloverleaf Dental Center, Llc 1064 E Main St Ste 102 Meriden CT 06450-4898 Ph: (203) 634-8727 | Cloverleaf Dental Center, Llc 1064 E Main St Ste 102 Meriden CT 06450-4898 Ph: (203) 634-8727 |
| NPI Number | 1407922081 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407922081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 006940 (Connecticut) | Primary |
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