| Branford Dental Group, Llc | |
|
1100 Barnum Ave Stratford CT 06614 | |
| (203) 864-3430 | |
| (203) 378-2759 |
| Full Name | Branford Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 Barnum Ave, Stratford, Connecticut |
| Authorized Official Name and Position | Dharam P Tayal (OWNER) |
| Authorized Official Contact | 2038643430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branford Dental Group, Llc 1060 West Main Street Brandford CT 06405 Ph: (203) 864-3430 | Branford Dental Group, Llc 1100 Barnum Ave Stratford CT 06614 Ph: (203) 864-3430 |
| NPI Number | 1396103255 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396103255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010878 (Connecticut) | Primary |
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