| Jsam Llc | |
|
420 E Main St Ste 3-17 Branford CT 06405-2942 | |
| (203) 488-6553 | |
| (203) 481-6691 |
| Full Name | Jsam Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 420 E Main St Ste 3-17, Branford, Connecticut |
| Authorized Official Name and Position | John D Michalak (OWNER 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 Ste 3-17 Branford CT 06405-2942 Ph: (203) 488-6553 | Jsam Llc 420 E Main St Ste 3-17 Branford CT 06405-2942 Ph: (203) 488-6553 |
| NPI Number | 1407288350 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407288350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 009451 (Connecticut) | Primary |
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