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Organization
MICHAEL DENTAL OF CLINTON, LLC
Active
Organization
MICHAEL DENTAL OF CLINTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY MICHAEL DMD (OWNER DENTIST)
(860) 669-5777
Entity
Organization
Contact information
Practice address
37 COMMERCE ST, CLINTON, CT 06413-2054
(860) 669-5777
Mailing address
37 COMMERCE ST, CLINTON, CT 06413-2054
(860) 669-5777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/25/2020
Last updated
03/20/2023
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