| Orange Children's Dentistry, Llc | |
|
518 Boston Post Rd Ste 4-5 Orange CT 06477-3554 | |
| (860) 970-2332 | |
| Not Available |
| Full Name | Orange Children's Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 518 Boston Post Rd Ste 4-5, Orange, Connecticut |
| Authorized Official Name and Position | Paula C Cerqueira (OWNER) |
| Authorized Official Contact | 8609702332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Children's Dentistry, Llc 518 Boston Post Rd Ste 4-5 Orange CT 06477-3554 Ph: (860) 970-2332 | Orange Children's Dentistry, Llc 518 Boston Post Rd Ste 4-5 Orange CT 06477-3554 Ph: (860) 970-2332 |
| NPI Number | 1932684990 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932684990 | NPI | - | NPPES |
| 1427027911 | Other | CT | NPI |
| 0042366354 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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