Organization
SPH MERIDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE HO (OWNER)
(917) 687-4425
Entity
Organization
Contact information
Practice address
470 LEWIS AVE, MERIDEN, CT 06451-2103
(203) 440-4199
Mailing address
470 LEWIS AVE, MERIDEN, CT 06451-2103
(203) 440-4199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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