| Madison Dental Spa | |
|
90 Wall St Ste 100 Madison CT 06443-3128 | |
| (203) 245-5101 | |
| (203) 245-5121 |
| Full Name | Madison Dental Spa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 90 Wall St Ste 100, Madison, Connecticut |
| Authorized Official Name and Position | Moumen Almouzayn (DENTIST) |
| Authorized Official Contact | 2032455121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental Spa 90 Wall St Ste 100 Madison CT 06443-3128 Ph: (203) 245-5101 | Madison Dental Spa 90 Wall St Ste 100 Madison CT 06443-3128 Ph: (203) 245-5101 |
| NPI Number | 1790343051 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790343051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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