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360 Boston Ave Suite 17 Stratford CT 06614-5213 | |
| (860) 437-3462 | |
| (860) 437-3485 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 360 Boston Ave, Stratford, Connecticut |
| Authorized Official Name and Position | Linda Mrowka (OFFICE MANAGER) |
| Authorized Official Contact | 8604373462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
320 Boston Ave Suite 17 Stratford CT 06614-5213 Ph: (860) 437-3462 | 360 Boston Ave Suite 17 Stratford CT 06614-5213 Ph: (860) 437-3462 |
| NPI Number | 1386035707 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386035707 | NPI | - | NPPES |
| 1386035707 | Medicaid | CT | |
| 1942579768 | Medicaid | CT |
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