| Stamford Orthodontic Associates | |
|
456 Glenbrook Rd Suite #4 Stamford CT 06906-1800 | |
| (203) 252-2181 | |
| Not Available |
| Full Name | Stamford Orthodontic Associates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 456 Glenbrook Rd, Stamford, Connecticut |
| Authorized Official Name and Position | Shyam Desai (OWNER) |
| Authorized Official Contact | 2033741911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stamford Orthodontic Associates 456 Glenbrook Rd Suite #4 Stamford CT 06906-1800 Ph: (203) 252-2181 | Stamford Orthodontic Associates 456 Glenbrook Rd Suite #4 Stamford CT 06906-1800 Ph: (203) 252-2181 |
| NPI Number | 1518247949 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518247949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 009802 (Connecticut) | Primary |
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