Sph Enterprise LLC

NPI #1942450754 in Shelton, Connecticut

Provider Information

NPI Number: 1942450754
Entity Type: Organization
Organization Name: Sph Enterprise LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 29, 2008
Last Updated: Sep 1, 2010

Practice Location

Address: 169 CENTER ST
City: Shelton
State: Connecticut
ZIP Code: 06484
Phone: (203) 925-9425

Authorized Official

Name: DIANE M DEVRIES
Title: BUSINESS MANAGER
Phone: (860) 342-4141

Specialties & Taxonomy Codes

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

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