| Dr. Dental | |
|
200 E Main St Unit 13 Stratford CT 06614-5114 | |
| (203) 378-8500 | |
| (203) 378-8501 |
| Full Name | Dr. Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Arthur Revechkis (MANAGER) |
| Authorized Official Contact | 2017250372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dental 200 E Main St Unit 13 Stratford CT 06614-5114 Ph: (203) 378-8500 | Dr. Dental 200 E Main St Unit 13 Stratford CT 06614-5114 Ph: (203) 378-8500 |
| NPI Number | 1124316104 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124316104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010025 (Connecticut) | Primary |
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