Sph Meriden LLC
NPI #1013393578 in Meriden, Connecticut
Provider Information
- NPI Number
- 1013393578
- Entity Type
- Organization
- Organization Name
- Sph Meriden LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 7, 2015
- Last Updated
- Aug 7, 2015
Practice Location
- Address
- 470 LEWIS AVE
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06451-2103
- Phone
- (203) 440-4199
Authorized Official
- Name
- MR. ANDRE LAVOIE
- Title
- OFFICE MANAGER
- Phone
- (860) 644-0099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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