| Stamford Plaza Family Dental | |
|
1990 W Main St Stamford CT 06902-4563 | |
| (201) 725-0372 | |
| Not Available |
| Full Name | Stamford Plaza Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1990 W Main St, Stamford, 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 |
|---|---|
| Stamford Plaza Family Dental 1990 W Main St Stamford CT 06902-4563 Ph: () - | Stamford Plaza Family Dental 1990 W Main St Stamford CT 06902-4563 Ph: (201) 725-0372 |
| NPI Number | 1194034074 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 09/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194034074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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