Sph2 Enterprise LLC
NPI #1558687103 in Meriden, Connecticut
Provider Information
- NPI Number
- 1558687103
- Entity Type
- Organization
- Organization Name
- Sph2 Enterprise LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 7, 2010
- Last Updated
- Jun 18, 2014
Practice Location
- Address
- 470 LEWIS AVE
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06451-2103
- Phone
- (860) 342-4141
Authorized Official
- Name
- DIANE DEVRIES
- Title
- BUSINESS MANAGER
- Phone
- (860) 342-4141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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