Organization
P & L VENTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LON POLVERARI DMD (OWNER)
(203) 596-1960
Entity
Organization
Contact information
Practice address
102 BOSTON POST RD, ORANGE, CT 06477-3233
(203) 596-1960
Mailing address
835 WOLCOTT ST, WATERBURY, CT 06705-1315
(203) 596-1960
(203) 596-1998
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
007375
CT
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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