| Greenwich Dental Llc | |
|
100 Melrose Ave Greenwich CT 06830-6257 | |
| (203) 622-3068 | |
| (203) 622-3069 |
| Full Name | Greenwich Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Melrose Ave, Greenwich, Connecticut |
| Authorized Official Name and Position | Judith Cordero (OWNER) |
| Authorized Official Contact | 2036223068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwich Dental Llc 100 Melrose Ave Greenwich CT 06830-6257 Ph: (203) 622-3068 | Greenwich Dental Llc 100 Melrose Ave Greenwich CT 06830-6257 Ph: (203) 622-3068 |
| NPI Number | 1922670819 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922670819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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