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Organization

L&M FAMILY DENTISTRY LLC

Active
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Organization

L&M FAMILY DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVAN MAKAR (CO-OWNER)
(475) 238-7148
Entity
Organization

Contact information

Practice address
136 SHERMAN AVE STE 104, NEW HAVEN, CT 06511-5210
(475) 238-7531
Mailing address
136 SHERMAN AVE STE 104, NEW HAVEN, CT 06511-5210

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11204
CT

Other

Enumeration date
12/23/2015
Last updated
12/23/2015
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