| Northeast Dental Of Stratford,llc | |
|
88 Ryders Ln Stratford CT 06614-1666 | |
| (732) 610-8265 | |
| Not Available |
| Full Name | Northeast Dental Of Stratford,llc |
|---|---|
| Speciality | Dentist |
| Location | 88 Ryders Ln, Stratford, Connecticut |
| Authorized Official Name and Position | Virginia Wicke (COO) |
| Authorized Official Contact | 7326108265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dental Of Stratford,llc 88 Ryders Ln Stratford CT 06614-1666 Ph: (732) 610-8265 | Northeast Dental Of Stratford,llc 88 Ryders Ln Stratford CT 06614-1666 Ph: (732) 610-8265 |
| NPI Number | 1851788723 |
|---|---|
| Provider Enumeration Date | 04/18/2015 |
| Last Update Date | 04/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851788723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20704 (Connecticut) | Primary |
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