Organization
SAM-CAR LLC
Active
Other names
East Lyme Family & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRASIELYN ADEMI (OFFICE MANAGER)
(860) 739-3447
Entity
Organization
Contact information
Practice address
15 CHURCH LN, EAST LYME, CT 06333-1621
(860) 739-3447
(860) 739-4679
Mailing address
15 CHURCH LN, EAST LYME, CT 06333-1621
(860) 739-3447
(860) 739-4679
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
008452
CT
305R00000X
Preferred Provider Organization
Primary
008671
CT
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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