Organization
L&M FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN MAKAR (CO-OWNER)
(475) 238-7148
Entity
Organization
Contact information
Practice address
136 SHERMAN AVE STE 104, NEW HAVEN, CT 06511-5210
(475) 238-7531
Mailing address
136 SHERMAN AVE STE 104, NEW HAVEN, CT 06511-5210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11204
CT
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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