| Dental Practice | |
|
10 Mott Ave 4c Norwalk CT 06850-3320 | |
| (203) 866-5020 | |
| Not Available |
| Full Name | Dental Practice |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10 Mott Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Cy Wald (DENTIST) |
| Authorized Official Contact | 2038665020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Practice 10 Mott Ave 4c Norwalk CT 06850-3320 Ph: (203) 866-5020 | Dental Practice 10 Mott Ave 4c Norwalk CT 06850-3320 Ph: (203) 866-5020 |
| NPI Number | 1083765267 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083765267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 04681 (Connecticut) | Primary |
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