Elite Dental Care | |
24 Grassy Plain St Bethel CT 06801-1700 | |
(203) 616-5786 | |
Not Available |
Full Name | Elite Dental Care |
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Speciality | Dentist |
Location | 24 Grassy Plain St, Bethel, Connecticut |
Authorized Official Name and Position | Sujata Pradhan-peck (OWNER) |
Authorized Official Contact | 2036165786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Dental Care 24 Grassy Plain St Bethel CT 06801-1700 Ph: (203) 616-5786 | Elite Dental Care 24 Grassy Plain St Bethel CT 06801-1700 Ph: (203) 616-5786 |
NPI Number | 1679960280 |
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Provider Enumeration Date | 04/21/2015 |
Last Update Date | 04/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679960280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 010774 (Connecticut) | Primary |
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