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Directory Results for 220 Burnham Street South Windsor, CT 06074 Vox 8882557293 Fax 8602890055 DELTA DENTAL OF ARIZONA DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION 86027 PAYER ID NUMBER AGREEMENTS REQUIRED Dual Delivery of v5010 X12 835 and to 220 Burnham Street South Windsor, CT 06074 Vox 8882557293 Fax 8602890055 MICHIGAN MEDICAID DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION PAYER ID NUMBER SPECIAL NOTES CKMI1 Effective 05/31/2014, the 835 authorization