| Downtown Dental Ct Pc | |
|
205 Main St # 4 Norwalk CT 06851-3530 | |
| (203) 857-1854 | |
| Not Available |
| Full Name | Downtown Dental Ct Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 Main St, Norwalk, Connecticut |
| Authorized Official Name and Position | Yulian Aminov (DENTIST) |
| Authorized Official Contact | 2122031611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental Ct Pc 205 Main St # 4 Norwalk CT 06851 Ph: (203) 857-1854 | Downtown Dental Ct Pc 205 Main St # 4 Norwalk CT 06851-3530 Ph: (203) 857-1854 |
| NPI Number | 1639613771 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639613771 | NPI | - | NPPES |
| 008042136 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010859 (Connecticut) | Primary |
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