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Organization

MERRITT DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL W. HILL DDS (OWNER)
(203) 373-9889
Entity
Organization

Contact information

Practice address
3715 MAIN ST, 409, BRIDGEPORT, CT 06606-3618
(203) 373-9889
Mailing address
3715 MAIN ST, 409, BRIDGEPORT, CT 06606-3618
(203) 373-9889

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5059
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2050599
CT
Enumeration date
03/09/2012
Last updated
03/09/2012
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