Stamford Plaza Family Dental
NPI #1194034074 in Stamford, Connecticut
Provider Information
- NPI Number
- 1194034074
- Entity Type
- Organization
- Organization Name
- Stamford Plaza Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 27, 2010
- Last Updated
- Sep 27, 2010
Practice Location
- Address
- 1990 W MAIN ST
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06902-4563
- Phone
- (201) 725-0372
Authorized Official
- Name
- ARTHUR REVECHKIS
- Title
- MANAGING PARTNER
- Phone
- (201) 725-0372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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