| Four Corners Dental Studio | |
|
802 Federal Rd Ste 2 Brookfield CT 06804-4008 | |
| (203) 546-7351 | |
| Not Available |
| Full Name | Four Corners Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 802 Federal Rd Ste 2, Brookfield, Connecticut |
| Authorized Official Name and Position | Adi Kedem (OWNER) |
| Authorized Official Contact | 2035467351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Dental Studio 802 Federal Rd Ste 2 Brookfield CT 06804-4008 Ph: (203) 546-7351 | Four Corners Dental Studio 802 Federal Rd Ste 2 Brookfield CT 06804-4008 Ph: (203) 546-7351 |
| NPI Number | 1871221606 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871221606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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