Organization
ANJALI BANERJEE DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIA WILLIAMS (PROVIDER ENROLLMENT TEAM LEAD)
(315) 454-6000
Entity
Organization
Contact information
Practice address
490 S BROAD ST, STE 19, MERIDEN, CT 06450
(203) 237-1000
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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