| Direct Dental Services Llc | |
|
70 Mill River St Ste Ul2 Stamford CT 06902-3725 | |
| (203) 890-9191 | |
| (203) 890-9193 |
| Full Name | Direct Dental Services Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 70 Mill River St Ste Ul2, Stamford, Connecticut |
| Authorized Official Name and Position | Emil Blank (DENTIST) |
| Authorized Official Contact | 2038909191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Dental Services Llc 70 Mill River St Ste Ul2 Stamford CT 06902-3725 Ph: (203) 890-9191 | Direct Dental Services Llc 70 Mill River St Ste Ul2 Stamford CT 06902-3725 Ph: (203) 890-9191 |
| NPI Number | 1811486517 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811486517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11954 (Connecticut) | Primary |
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