| Stratford Family Dental Pc | |
|
2261 Broadbridge Ave Stratford CT 06614-3860 | |
| (203) 375-4633 | |
| Not Available |
| Full Name | Stratford Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2261 Broadbridge Ave, Stratford, Connecticut |
| Authorized Official Name and Position | Pritiza Khadka Subedi (OWNER) |
| Authorized Official Contact | 2032601929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stratford Family Dental Pc 112 Soundview Ave Fairfield CT 06825-7435 Ph: (203) 260-1929 | Stratford Family Dental Pc 2261 Broadbridge Ave Stratford CT 06614-3860 Ph: (203) 375-4633 |
| NPI Number | 1518482561 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 08/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518482561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11430 (Connecticut) | Primary |
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