| Nova Dental East Llc | |
|
1241 S Broad St Wallingford CT 06492-1737 | |
| (203) 626-5745 | |
| (203) 626-9213 |
| Full Name | Nova Dental East Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1241 S Broad St, Wallingford, Connecticut |
| Authorized Official Name and Position | Asma Ijaz (OWNER) |
| Authorized Official Contact | 2036265745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Dental East Llc 1241 S Broad St Wallingford CT 06492-1737 Ph: (203) 626-5745 | Nova Dental East Llc 1241 S Broad St Wallingford CT 06492-1737 Ph: (203) 626-5745 |
| NPI Number | 1629313077 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 05/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629313077 | NPI | - | NPPES |
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