Newhavendental Llc | |
214 Grand Ave New Haven CT 06513-3721 | |
(203) 859-5239 | |
Not Available |
Full Name | Newhavendental Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 214 Grand Ave, New Haven, Connecticut |
Authorized Official Name and Position | Lakshmi Bethi (OWNER) |
Authorized Official Contact | 2154217576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Newhavendental Llc 25 Lexie Ln South Windsor CT 06074-4162 Ph: (215) 421-7576 | Newhavendental Llc 214 Grand Ave New Haven CT 06513-3721 Ph: (203) 859-5239 |
NPI Number | 1912593609 |
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Provider Enumeration Date | 12/16/2020 |
Last Update Date | 12/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912593609 | NPI | - | NPPES |
1053669473 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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