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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1538130869 NPPES
Connecticut Other 30451 CONTROLLED SUBSTANCE
Connecticut MEDICAID 004235992 CONTROLLED SUBSTANCE
Connecticut Other 008832 CONTROLLED SUBSTANCE

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