| Sph3 Enterprise Llc | |
|
194 Buckland Hills Dr Suite 1076 Manchester CT 06042-8705 | |
| (860) 644-0099 | |
| Not Available |
| Full Name | Sph3 Enterprise Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 194 Buckland Hills Dr, Manchester, Connecticut |
| Authorized Official Name and Position | Andre Lavoie (OFFICE MANAGER) |
| Authorized Official Contact | 8606440099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sph3 Enterprise Llc 194 Buckland Hills Dr Suite 1076 Manchester CT 06042-8705 Ph: () - | Sph3 Enterprise Llc 194 Buckland Hills Dr Suite 1076 Manchester CT 06042-8705 Ph: (860) 644-0099 |
| NPI Number | 1154798247 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154798247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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