| Oral Care Dental Group Ii, Llc | |
|
21 Montauk Ave Suite 102 New London CT 06320-4906 | |
| (860) 447-9280 | |
| (860) 437-1938 |
| Full Name | Oral Care Dental Group Ii, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21 Montauk Ave, New London, Connecticut |
| Authorized Official Name and Position | Angelina Santa Maria (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8604479280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Care Dental Group Ii, Llc 21 Montauk Ave Suite 102 New London CT 06320-4906 Ph: (860) 447-9280 | Oral Care Dental Group Ii, Llc 21 Montauk Ave Suite 102 New London CT 06320-4906 Ph: (860) 447-9280 |
| NPI Number | 1487872883 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487872883 | NPI | - | NPPES |
| 004249076 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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