Braces of Connecticut, PC
NPI #1245671551 in Meriden, Connecticut
Provider Information
- NPI Number
- 1245671551
- Entity Type
- Organization
- Organization Name
- Braces of Connecticut, PC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jul 15, 2013
- Last Updated
- Jul 15, 2013
Practice Location
- Address
- 415 BROAD ST
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06450-5839
- Phone
- (203) 440-9449
Authorized Official
- Name
- JORDAN LISSAUER, DMD
- Title
- PRESIDENT
- Phone
- (203) 440-9449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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