| |
2900 Main St Ste 2c Stratford CT 06614-4946 | |
(203) 375-1649 | |
(203) 377-5251 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2900 Main St Ste 2c, Stratford, Connecticut |
Authorized Official Name and Position | Mohamed Elnazer (DENTIST) |
Authorized Official Contact | 2033751649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2900 Main St Ste 2c Stratford CT 06614-4946 Ph: (203) 375-1649 | 2900 Main St Ste 2c Stratford CT 06614-4946 Ph: (203) 375-1649 |
NPI Number | 1902589922 |
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Provider Enumeration Date | 08/08/2023 |
Last Update Date | 04/23/2024 |
Identifier | Type | State | Issuer |
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1902589922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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