Vernon Family Dentists

NPI 1881813764 - Dentist - 1223G0001X

NPI Details
NPI 1881813764
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL MICHAEL
Position DENTIST
Phone (860) 875-5664
Fax (860) 875-0520
Practice Location
351 MERLINE RD
SUITE 301
VERNON CT, 06066-4040, US
Phone (860) 875-5664
Fax (860) 875-0520
Business Location
351 MERLINE RD
SUITE 301
VERNON CT, 06066-4040, US
Phone (860) 875-5664
Fax (860) 875-0520
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 8497
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According to our database, Vernon Family Dentists NPI is 1881813764, taxonomy code is 1223G0001X and license number is 8497, license state is located at Connecticut. Vernon Family Dentists physically located at 351 Merline Rd, Vernon CT, 06066-4040. NPI Number 1033115704 has the healthcare provider type.

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1881813764 NPI number is provided on an as is basis without warranty of any kind. 1881813764 is maintained by the National Plan & Provider Enumeration System. The contents of Vernon Family Dentists are for informational purposes only.