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2318 Main St Stratford CT 06615-5966 | |
| (203) 375-1649 | |
| (203) 377-5251 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2318 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Reza Radmand (OWNER) |
| Authorized Official Contact | 2033751649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2318 Main St Stratford CT 06615-5966 Ph: (203) 375-1649 | 2318 Main St Stratford CT 06615-5966 Ph: (203) 375-1649 |
| NPI Number | 1821489279 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821489279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10264 (Connecticut) | Primary |
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