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Organization
DENTAL SLEEP MEDICINE OF CENTRAL CONNECTICUT, LLC
Active
Organization
DENTAL SLEEP MEDICINE OF CENTRAL CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE SALONIA DMD (DENTIST)
(860) 346-6737
Entity
Organization
Contact information
Practice address
955 S MAIN ST STE B, MIDDLETOWN, CT 06457-5153
(860) 346-6737
(860) 704-0239
Mailing address
955 S MAIN ST STE B, MIDDLETOWN, CT 06457-5153
(860) 346-6737
(860) 704-0239
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477580538
NPI
—
01
—
5646
LICENSE
CT
Enumeration date
11/17/2017
Last updated
11/17/2017
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