Organization
MERRITT DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASANNA RAVURI D.D.S. (OWNER)
(551) 404-1207
Entity
Organization
Contact information
Practice address
399 MAIN AVE, #622, NORWALK, CT 06851-1554
(551) 404-1207
Mailing address
399 MAIN AVE, #622, NORWALK, CT 06851-1554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010278
CT
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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