Quesada, Lilian
Quesada, Lilian is an individual health care provider with primary practice located at 21 Grand Street , Hartford CT 06106. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Quesada, Lilian can be contacted via phone (860) 550-7500.Contact Information
Primary practice address
21 Grand Street
Hartford CT 06106
Phone: (860) 550-7500
Fax: (860) 550-7501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 008832 | Connecticut |
Profile Details
| NPI number | 1538130869 |
|---|---|
| LBN Legal business name | Quesada, Lilian |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Nov 29th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538130869 | NPPES |
| Connecticut | Other | 30451 | CONTROLLED SUBSTANCE |
| Connecticut | MEDICAID | 004235992 | CONTROLLED SUBSTANCE |
| Connecticut | Other | 008832 | CONTROLLED SUBSTANCE |
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