| Ambulatory Dental Anesthesia Associates, Llc | |
|
607 Aspen Ln Orange CT 06477-2161 | |
| (203) 804-8875 | |
| (203) 306-3019 |
| Full Name | Ambulatory Dental Anesthesia Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 607 Aspen Ln, Orange, Connecticut |
| Authorized Official Name and Position | Chester J Sokolowski (OWNER) |
| Authorized Official Contact | 2038048875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambulatory Dental Anesthesia Associates, Llc 607 Aspen Ln Orange CT 06477-2161 Ph: (203) 804-8875 | Ambulatory Dental Anesthesia Associates, Llc 607 Aspen Ln Orange CT 06477-2161 Ph: (203) 804-8875 |
| NPI Number | 1184960825 |
|---|---|
| Provider Enumeration Date | 12/28/2012 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184960825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6903 (Connecticut) | Primary |
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