Organization
CLOVER DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KU (MEMBER)
(713) 591-5434
Entity
Organization
Contact information
Practice address
1209 S BROAD ST, WALLINGFORD, CT 06492-1714
(203) 934-3400
Mailing address
1209 S BROAD ST, WALLINGFORD, CT 06492-1714
(203) 934-3400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/30/2023
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