| Lrd Danbury LLC | |
|
2 Glen Hill Rd Danbury CT 06811-4906 | |
| (203) 797-9392 | |
| (203) 797-9588 |
| Full Name | Lrd Danbury LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Glen Hill Rd, Danbury, Connecticut |
| Authorized Official Name and Position | Justina Cho (OWNER) |
| Authorized Official Contact | 6463696918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lrd Danbury LLC 2 Glen Hill Rd Danbury CT 06811-4906 Ph: (203) 797-9392 | Lrd Danbury LLC 2 Glen Hill Rd Danbury CT 06811-4906 Ph: (203) 797-9392 |
| NPI Number | 1134512932 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134512932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10227 (Connecticut) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10227 (Connecticut) | Secondary |
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Glen Hill Dental PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Glen Hill Rd, Danbury, CT 06811 Phone: 203-797-9392 Fax: 203-797-9588 |
Louis V. Theodos, DMD Oral and Maxillofacial Surgery, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Federal Rd, Suite 2a, Danbury, CT 06810 Phone: 203-790-6288 Fax: 203-790-7617 |
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