| Distinctive Dental Service Ridgefield, Pllc | |
|
80 Grove St Ridgefield CT 06877-4104 | |
| (203) 431-4344 | |
| Not Available |
| Full Name | Distinctive Dental Service Ridgefield, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 80 Grove St, Ridgefield, Connecticut |
| Authorized Official Name and Position | Efren Cortes (OWNER) |
| Authorized Official Contact | 2032221444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dental Service Ridgefield, Pllc 320 Fallowfield Rd Fairfield CT 06824-1616 Ph: (203) 767-9605 | Distinctive Dental Service Ridgefield, Pllc 80 Grove St Ridgefield CT 06877-4104 Ph: (203) 431-4344 |
| NPI Number | 1447938253 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447938253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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