| Dr. Dental | |
|
360 Connecticut Ave Norwalk CT 06854-1824 | |
| (201) 725-0372 | |
| Not Available |
| Full Name | Dr. Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 360 Connecticut Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Arthur Revechkis (MANAGING PARTNER) |
| Authorized Official Contact | 2017250372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dental 360 Connecticut Ave Norwalk CT 06854-1824 Ph: (201) 725-0372 | Dr. Dental 360 Connecticut Ave Norwalk CT 06854-1824 Ph: (201) 725-0372 |
| NPI Number | 1598041154 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 10/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598041154 | NPI | - | NPPES |
| 010025 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 010025 (Connecticut) | Primary |
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