| Oral Maxillofacial Surgery Fairfield County Llc | |
|
148 East Ave Ste 3h1 Norwalk CT 06851-5721 | |
| (718) 666-6664 | |
| Not Available |
| Full Name | Oral Maxillofacial Surgery Fairfield County Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 148 East Ave Ste 3h1, Norwalk, Connecticut |
| Authorized Official Name and Position | Imanuel Babayev (OWNER) |
| Authorized Official Contact | 7186666664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial Surgery Fairfield County Llc 148 East Ave Ste 3h1 Norwalk CT 06851-5721 Ph: () - | Oral Maxillofacial Surgery Fairfield County Llc 148 East Ave Ste 3h1 Norwalk CT 06851-5721 Ph: (718) 666-6664 |
| NPI Number | 1699210922 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699210922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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