Brass City Dentistry | |
3670 E Main St Suite 10 Waterbury CT 06705-3851 | |
(203) 754-0184 | |
Not Available |
Full Name | Brass City Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 3670 E Main St, Waterbury, Connecticut |
Authorized Official Name and Position | Bilal Ahmed (DENTIST) |
Authorized Official Contact | 3174373221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brass City Dentistry 211 Pomeroy Ave Unit 1102 Meriden CT 06450-7165 Ph: (317) 437-3221 | Brass City Dentistry 3670 E Main St Suite 10 Waterbury CT 06705-3851 Ph: (203) 754-0184 |
NPI Number | 1568700920 |
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Provider Enumeration Date | 01/19/2013 |
Last Update Date | 01/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568700920 | NPI | - | NPPES |
008040725 | Medicaid | CT | |
008040721 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 010751 (Connecticut) | Primary |
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