| Dental Center Of Ct Pc | |
|
921 White Plains Rd Trumbull CT 06611-4546 | |
| (619) 504-4450 | |
| Not Available |
| Full Name | Dental Center Of Ct Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 921 White Plains Rd, Trumbull, Connecticut |
| Authorized Official Name and Position | Roman Shamuelov (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 6195044450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Of Ct Pc 6115 97th St Apt 7c Rego Park NY 11374-1247 Ph: () - | Dental Center Of Ct Pc 921 White Plains Rd Trumbull CT 06611-4546 Ph: (619) 504-4450 |
| NPI Number | 1679861603 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 07/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679861603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010277 (Connecticut) | Primary |
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