| Trumbull Premier Dental | |
|
4161 Madison Ave Trumbull CT 06611-3533 | |
| (203) 374-4300 | |
| (203) 374-0479 |
| Full Name | Trumbull Premier Dental |
|---|---|
| Speciality | Dentist |
| Location | 4161 Madison Ave, Trumbull, Connecticut |
| Authorized Official Name and Position | Pablo Cuevas (SOLE MEMBER) |
| Authorized Official Contact | 2033744300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trumbull Premier Dental 4161 Madison Ave Trumbull CT 06611-3533 Ph: (203) 374-4300 | Trumbull Premier Dental 4161 Madison Ave Trumbull CT 06611-3533 Ph: (203) 374-4300 |
| NPI Number | 1548626823 |
|---|---|
| Provider Enumeration Date | 01/03/2016 |
| Last Update Date | 01/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548626823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7516 (Connecticut) | Primary |
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