| Jsam, Llc | |
|
420 E Main St Building 3, Suite #17 Branford CT 06405-2940 | |
| (203) 488-6553 | |
| Not Available |
| Full Name | Jsam, Llc |
|---|---|
| Speciality | Dentist |
| Location | 420 E Main St, Branford, Connecticut |
| Authorized Official Name and Position | John Michalak (DENTIST) |
| Authorized Official Contact | 2034886553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsam, Llc 420 E Main St Building 3, Suite #17 Branford CT 06405-2940 Ph: (203) 488-6553 | Jsam, Llc 420 E Main St Building 3, Suite #17 Branford CT 06405-2940 Ph: (203) 488-6553 |
| NPI Number | 1861779373 |
|---|---|
| Provider Enumeration Date | 11/11/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861779373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 009451 (Connecticut) | Primary |
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