| Advanced Dental Sleep Medicine Of Connecticut, Pc | |
|
2318 Main St Stratford CT 06615-5966 | |
| (203) 375-1649 | |
| Not Available |
| Full Name | Advanced Dental Sleep Medicine Of Connecticut, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2318 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Reza Radmand (PRESIDENT) |
| Authorized Official Contact | 8445571701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Sleep Medicine Of Connecticut, Pc 2318 Main St Stratford CT 06615-5966 Ph: (844) 557-1701 | Advanced Dental Sleep Medicine Of Connecticut, Pc 2318 Main St Stratford CT 06615-5966 Ph: (203) 375-1649 |
| NPI Number | 1891159026 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891159026 | NPI | - | NPPES |
| 7596600001 | Other | CT | MEDICARE NSC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10264 (Connecticut) | Primary |
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