| Dental One Llc | |
|
71 East Ave Ste A Norwalk CT 06851-4903 | |
| (203) 850-2007 | |
| (203) 286-1230 |
| Full Name | Dental One Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 71 East Ave Ste A, Norwalk, Connecticut |
| Authorized Official Name and Position | Sheikh M Ilyas (OWNER) |
| Authorized Official Contact | 2038502007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental One Llc Po Box 5238 Brookfield CT 06804-5238 Ph: (203) 850-2007 | Dental One Llc 71 East Ave Ste A Norwalk CT 06851-4903 Ph: (203) 850-2007 |
| NPI Number | 1679078026 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679078026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 009413 (Connecticut) | Primary |
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