| Zelmanow Dental Llc | |
|
319 Flanders Rd East Lyme CT 06333-1711 | |
| (860) 739-6915 | |
| (860) 739-4908 |
| Full Name | Zelmanow Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 319 Flanders Rd, East Lyme, Connecticut |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zelmanow Dental Llc 319 Flanders Rd East Lyme CT 06333-1711 Ph: (860) 739-6915 | Zelmanow Dental Llc 319 Flanders Rd East Lyme CT 06333-1711 Ph: (860) 739-6915 |
| NPI Number | 1083244602 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083244602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Connecticut Oral Surgery And Implant Center, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Flanders Rd Ste 1b, East Lyme, CT 06333 Phone: 860-739-3133 | |
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