| Sph2 Enterprise, Llc | |
|
191 Franklin Ave Hartford CT 06114 | |
| (860) 296-7460 | |
| (860) 296-7459 |
| Full Name | Sph2 Enterprise, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 191 Franklin Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Diane Devries (BUSINESS MANAGER) |
| Authorized Official Contact | 8603424141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sph2 Enterprise, Llc 191 Franklin Ave Hartford CT 06114 Ph: (860) 296-7460 | Sph2 Enterprise, Llc 191 Franklin Ave Hartford CT 06114 Ph: (860) 296-7460 |
| NPI Number | 1245569748 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245569748 | NPI | - | NPPES |
| 008002144 | Medicaid | CT | |
| 008002145 | Medicaid | CT | |
| 008002146 | Medicaid | CT |
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