Dental Permanente of Stamford

NPI #1194100982 in Stamford, Connecticut

Provider Information

NPI Number: 1194100982
Entity Type: Organization
Organization Name: Dental Permanente of Stamford
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 22, 2015
Last Updated: Aug 20, 2015

Practice Location

Address: 868 E MAIN ST
City: Stamford
State: Connecticut
ZIP Code: 06902-3926
Phone: (203) 324-3245

Authorized Official

Name: DR. YINGJIE WU
Title: OWNER
Phone: (203) 324-3245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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