| Hawley Lane Dental Llc | |
|
475 Hawley Lane Unit 9 Stratford CT 06614 | |
| (203) 377-9300 | |
| (203) 377-9301 |
| Full Name | Hawley Lane Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 475 Hawley Lane, Stratford, Connecticut |
| Authorized Official Name and Position | Kristy L Gretzula (MEMBER) |
| Authorized Official Contact | 2033779300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawley Lane Dental Llc 475 Hawley Lane Unit 9 Stratford CT 06614 Ph: (203) 377-9300 | Hawley Lane Dental Llc 475 Hawley Lane Unit 9 Stratford CT 06614 Ph: (203) 377-9300 |
| NPI Number | 1578730578 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578730578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9459 (Connecticut) | Primary |
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