Organization
MONROE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDRA YASEEN DDS (CEO)
(484) 664-9623
Entity
Organization
Contact information
Practice address
181 MAIN ST, MONROE, CT 06468-1110
(484) 664-9623
Mailing address
181 MAIN ST, MONROE, CT 06468-1110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11402
CT
Other
Enumeration date
12/08/2015
Last updated
12/22/2015
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