Organization
MICHAEL DENTAL OF CLINTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY MICHAEL DMD (OWNER DENTIST)
(860) 669-5777
Entity
Organization
Contact information
Practice address
37 COMMERCE ST, CLINTON, CT 06413-2054
(860) 669-5777
Mailing address
37 COMMERCE ST, CLINTON, CT 06413-2054
(860) 669-5777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/25/2020
Last updated
03/20/2023
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