| Sph Meriden Llc | |
|
470 Lewis Ave Meriden CT 06451-2103 | |
| (203) 440-4199 | |
| Not Available |
| Full Name | Sph Meriden Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 470 Lewis Ave, Meriden, Connecticut |
| Authorized Official Name and Position | Tae Ho (OWNER) |
| Authorized Official Contact | 9176874425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sph Meriden Llc 470 Lewis Ave Meriden CT 06451-2103 Ph: (203) 440-4199 | Sph Meriden Llc 470 Lewis Ave Meriden CT 06451-2103 Ph: (203) 440-4199 |
| NPI Number | 1811395494 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 12/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811395494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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