| Ct Braces Newtown Orthodontics Pc | |
|
12 Queen St Newtown CT 06470-2158 | |
| (203) 270-0005 | |
| (203) 683-0524 |
| Full Name | Ct Braces Newtown Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12 Queen St, Newtown, Connecticut |
| Authorized Official Name and Position | Shyam Desai (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 2036153666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Braces Newtown Orthodontics Pc 63 Coventry Ln Trumbull CT 06611-1061 Ph: () - | Ct Braces Newtown Orthodontics Pc 12 Queen St Newtown CT 06470-2158 Ph: (203) 270-0005 |
| NPI Number | 1609363860 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 04/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609363860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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