| Northhavenfamilydental | |
|
323 Universal Dr N North Haven CT 06473-3154 | |
| (215) 421-7576 | |
| Not Available |
| Full Name | Northhavenfamilydental |
|---|---|
| Speciality | Dentist |
| Location | 323 Universal Dr N, North Haven, Connecticut |
| Authorized Official Name and Position | Lakshmi Bethi (GENERAL DENTIST) |
| Authorized Official Contact | 2154217576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northhavenfamilydental 25 Lexie Lane Southwindsor CT 06074 Ph: (215) 421-7576 | Northhavenfamilydental 323 Universal Dr N North Haven CT 06473-3154 Ph: (215) 421-7576 |
| NPI Number | 1962949206 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962949206 | NPI | - | NPPES |
| 010930 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010930 (Connecticut) | Primary |
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