| P & L Venture Llc | |
|
102 Boston Post Rd Orange CT 06477-3233 | |
| (203) 596-1960 | |
| Not Available |
| Full Name | P & L Venture Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Boston Post Rd, Orange, Connecticut |
| Authorized Official Name and Position | Lon Polverari (OWNER) |
| Authorized Official Contact | 2035961960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P & L Venture Llc 835 Wolcott St Waterbury CT 06705-1315 Ph: (203) 596-1960 | P & L Venture Llc 102 Boston Post Rd Orange CT 06477-3233 Ph: (203) 596-1960 |
| NPI Number | 1861919409 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 08/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861919409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 007375 (Connecticut) | Primary |
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