| Elite Family Dentistry | |
|
3579b Berlin Tpke Newington CT 06111-5136 | |
| (860) 266-4766 | |
| Not Available |
| Full Name | Elite Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3579b Berlin Tpke, Newington, Connecticut |
| Authorized Official Name and Position | Ranjitha Mukund (OWNER) |
| Authorized Official Contact | 3472054040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Family Dentistry 3579b Berlin Tpke Newington CT 06111-5136 Ph: (860) 266-4766 | Elite Family Dentistry 3579b Berlin Tpke Newington CT 06111-5136 Ph: (860) 266-4766 |
| NPI Number | 1457739765 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 09/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457739765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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