| Pearl Dental Of Stamford, Pc | |
|
1055 Summer St Suite 3 Stamford CT 06905-5527 | |
| (203) 325-2102 | |
| (203) 325-1153 |
| Full Name | Pearl Dental Of Stamford, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1055 Summer St, Stamford, Connecticut |
| Authorized Official Name and Position | Kaveeta Channamsetty (OWNER) |
| Authorized Official Contact | 2033252102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Dental Of Stamford, Pc 1055 Summer St Suite 3 Stamford CT 06905-5527 Ph: (203) 325-2102 | Pearl Dental Of Stamford, Pc 1055 Summer St Suite 3 Stamford CT 06905-5527 Ph: (203) 325-2102 |
| NPI Number | 1033510474 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033510474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 009837 (Connecticut) | Primary |
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