Organization
ELITE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJATA PRADHAN-PECK (OWNER)
(203) 616-5786
Entity
Organization
Contact information
Practice address
24 GRASSY PLAIN ST, BETHEL, CT 06801-1700
(203) 616-5786
Mailing address
24 GRASSY PLAIN ST, BETHEL, CT 06801-1700
(203) 616-5786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010774
CT
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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