| Stamford Oral & Maxillofacial Surgery Assoc Pc | |
|
27 Bridge Street Stamford CT 06905-4597 | |
| (203) 325-2661 | |
| (203) 323-5611 |
| Full Name | Stamford Oral & Maxillofacial Surgery Assoc Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 27 Bridge Street, Stamford, Connecticut |
| Authorized Official Name and Position | Donald J Case (PRES) |
| Authorized Official Contact | 2033252661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stamford Oral & Maxillofacial Surgery Assoc Pc 27 Bridge Street Stamford CT 06905-4597 Ph: (203) 325-2661 | Stamford Oral & Maxillofacial Surgery Assoc Pc 27 Bridge Street Stamford CT 06905-4597 Ph: (203) 325-2661 |
| NPI Number | 1063609105 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063609105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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