| Stratford Dental Care Pc | |
|
373 Nichols Ave Stratford CT 06614 | |
| (203) 377-6418 | |
| (203) 377-5477 |
| Full Name | Stratford Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 373 Nichols Ave, Stratford, Connecticut |
| Authorized Official Name and Position | Leonardo Pena-abosaid (PRESIDENT) |
| Authorized Official Contact | 2033776418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stratford Dental Care Pc 373 Nichols Ave Stratford CT 06614 Ph: (203) 377-6418 | Stratford Dental Care Pc 373 Nichols Ave Stratford CT 06614 Ph: (203) 377-6418 |
| NPI Number | 1609886480 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609886480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0087700 (Connecticut) | Primary |
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