Organization
BRACES OF CONNECTICUT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LISSAUER DMD (PRESIDENT)
(203) 440-9449
Entity
Organization
Contact information
Practice address
415 BROAD ST, MERIDEN, CT 06450-5839
(203) 440-9449
Mailing address
415 BROAD ST, MERIDEN, CT 06450-5839
(203) 440-9449
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CT
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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