Meera Menon
Dentist, General Practice in Waterbury, CT. Organization (NPI-2).
NPI number1124201728
StatusActive
Last updated in NPPESDec 6, 2007
Details
- NPI
- 1124201728
- Entity type
- Organization (NPI-2)
- Legal business name
- Meera Menon
- Organization subpart
- No
- Enumeration date
- Dec 6, 2007
- Last updated
- Dec 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 007137 | CT | Yes |
Practice location
135 Bank StWaterbury, CT 06702-2205
Phone 203-755-7979 · Fax 203-755-9598
Mailing address
135 Bank StWaterbury, CT 06702-2205
Phone 203-755-7979 · Fax 203-755-9598
Authorized official
Meera Menon
Owner
2037557979
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