| Modern Orthodontics Llc | |
|
1095 West St Ste 2 Southington CT 06489-1023 | |
| (860) 406-8220 | |
| Not Available |
| Full Name | Modern Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1095 West St Ste 2, Southington, Connecticut |
| Authorized Official Name and Position | Anuj Camanocha (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 8604064322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Orthodontics Llc 233 Sterling Dr Newington CT 06111-2261 Ph: (603) 969-4322 | Modern Orthodontics Llc 1095 West St Ste 2 Southington CT 06489-1023 Ph: (860) 406-8220 |
| NPI Number | 1568978476 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 12/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568978476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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