Sph Meriden LLC

NPI #1811395494 in Meriden, Connecticut

Provider Information

NPI Number: 1811395494
Entity Type: Organization
Organization Name: Sph Meriden LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 12, 2014
Last Updated: Dec 12, 2014

Practice Location

Address: 470 LEWIS AVE
City: Meriden
State: Connecticut
ZIP Code: 06451-2103
Phone: (203) 440-4199

Authorized Official

Name: TAE HO
Title: OWNER
Phone: (917) 687-4425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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