| West Avenue Dental Pc | |
|
520 West Ave Norwalk CT 06850-4034 | |
| (203) 939-1460 | |
| Not Available |
| Full Name | West Avenue Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 West Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Hrishikesh Gogate (PRESIDENT) |
| Authorized Official Contact | 2039391460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Avenue Dental Pc 520 West Ave Norwalk CT 06850-4034 Ph: (203) 939-1460 | West Avenue Dental Pc 520 West Ave Norwalk CT 06850-4034 Ph: (203) 939-1460 |
| NPI Number | 1851610869 |
|---|---|
| Provider Enumeration Date | 06/01/2010 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851610869 | NPI | - | NPPES |
| 1851610869 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10089 (Connecticut) | Primary |
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