| Dental Group Of Meriden-wallingford | |
|
298 Broad St Meriden CT 06450-5853 | |
| (203) 235-5588 | |
| (203) 630-3021 |
| Full Name | Dental Group Of Meriden-wallingford |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 298 Broad St, Meriden, Connecticut |
| Authorized Official Name and Position | Sunita Kalluri (PRESIDENT/OWNER) |
| Authorized Official Contact | 2032355588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group Of Meriden-wallingford 298 Broad St Meriden CT 06450-5853 Ph: (203) 235-5588 | Dental Group Of Meriden-wallingford 298 Broad St Meriden CT 06450-5853 Ph: (203) 235-5588 |
| NPI Number | 1235369794 |
|---|---|
| Provider Enumeration Date | 07/19/2009 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235369794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4108 (Connecticut) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 7806 (Connecticut) | Primary |
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