| Fairfield Endo, Pc | |
|
999 Summer St Ste 301 Stamford CT 06905-5513 | |
| (203) 325-3636 | |
| (203) 253-1268 |
| Full Name | Fairfield Endo, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 999 Summer St Ste 301, Stamford, Connecticut |
| Authorized Official Name and Position | Irene Wong (PRESIDENT/DENTIST) |
| Authorized Official Contact | 2033253636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Endo, Pc 999 Summer St Ste 301 Stamford CT 06905-5513 Ph: (203) 325-3636 | Fairfield Endo, Pc 999 Summer St Ste 301 Stamford CT 06905-5513 Ph: (203) 325-3636 |
| NPI Number | 1235842527 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 01/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235842527 | NPI | - | NPPES |
| 1043364102 | Other | CT | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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