Organization
ELITE FAMILY DENTISTRY
Active
Other names
Green Meadow Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANJITHA MUKUND DMD (OWNER)
(347) 205-4040
Entity
Organization
Contact information
Practice address
3579B BERLIN TPKE, NEWINGTON, CT 06111-5136
(860) 266-4766
Mailing address
3579B BERLIN TPKE, NEWINGTON, CT 06111-5136
(860) 266-4766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
09/03/2015
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