Stratford Orthodontics | |
2499 Main St Stratford CT 06615-5843 | |
(203) 375-8332 | |
Not Available |
Full Name | Stratford Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2499 Main St, Stratford, Connecticut |
Authorized Official Name and Position | Shyam Desai (ORTHODONTIST) |
Authorized Official Contact | 2033741911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stratford Orthodontics 2499 Main St Stratford CT 06615-5843 Ph: (203) 375-8332 | Stratford Orthodontics 2499 Main St Stratford CT 06615-5843 Ph: (203) 375-8332 |
NPI Number | 1699228510 |
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Provider Enumeration Date | 07/27/2016 |
Last Update Date | 10/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699228510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9802 (Connecticut) | Primary |
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