| Supreme Dental, Llc | |
|
44 Strawberry Hill Ave Ste 9 Stamford CT 06902-2632 | |
| (774) 345-9799 | |
| Not Available |
| Full Name | Supreme Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 Strawberry Hill Ave Ste 9, Stamford, Connecticut |
| Authorized Official Name and Position | Mohammadreza Ghorbaniparvar (MEMBER) |
| Authorized Official Contact | 2033485612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Dental, Llc 44 Strawberry Hill Ave Ste 9 Stamford CT 06902-2632 Ph: (774) 345-9799 | Supreme Dental, Llc 44 Strawberry Hill Ave Ste 9 Stamford CT 06902-2632 Ph: (774) 345-9799 |
| NPI Number | 1235719378 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235719378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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