Organization
DENTAL SLEEP MEDICINE OF CENTRAL CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE SALONIA DMD (DENTIST)
(860) 346-6737
Entity
Organization
Contact information
Practice address
955 S MAIN ST STE B, MIDDLETOWN, CT 06457-5153
(860) 346-6737
(860) 704-0239
Mailing address
955 S MAIN ST STE B, MIDDLETOWN, CT 06457-5153
(860) 346-6737
(860) 704-0239
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477580538
NPI
—
01
—
5646
LICENSE
CT
Enumeration date
11/17/2017
Last updated
11/17/2017
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