| Center For Sleep And Tmj Disorders Of Fairfield, Llc | |
|
1100 Kings Hwy E Suite 2e Fairfield CT 06825-5400 | |
| (203) 335-0020 | |
| (203) 335-0030 |
| Full Name | Center For Sleep And Tmj Disorders Of Fairfield, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 Kings Hwy E, Fairfield, Connecticut |
| Authorized Official Name and Position | Gloria Busia Maczuga-stern (DENTIST) |
| Authorized Official Contact | 2033350030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Sleep And Tmj Disorders Of Fairfield, Llc 1100 Kings Hwy E Suite 2e Fairfield CT 06825-5400 Ph: (203) 335-0020 | Center For Sleep And Tmj Disorders Of Fairfield, Llc 1100 Kings Hwy E Suite 2e Fairfield CT 06825-5400 Ph: (203) 335-0020 |
| NPI Number | 1700037538 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 02/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700037538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008916 (Connecticut) | Primary |
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