Boccalatte, Michele Salonia

Boccalatte, Michele Salonia is an sole proprietor health care provider with primary practice located at 955 S Main St , Middletown CT 06457-5153. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Boccalatte, Michele Salonia can be contacted via phone (860) 346-6737.

Contact Information

Primary practice address
955 S Main St Middletown CT 06457-5153
Fax: (860) 704-0239
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5646 Connecticut

Profile Details

NPI number 1477580538
LBN Legal business name Boccalatte, Michele Salonia
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Sep 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477580538 NPPES
Connecticut Other CT5646 CT LISCENSE NUMBER
Connecticut Other 061065268 CT LISCENSE NUMBER

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