Ident PC

NPI #1194301036 in Stamford, Connecticut

Provider Information

NPI Number
1194301036
Entity Type
Organization
Organization Name
Ident PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 22, 2021
Last Updated
Mar 22, 2021

Practice Location

Address
711 CANAL ST # 250
ZIP Code
06902-6094
Phone
(203) 548-0826

Authorized Official

Name
ADAM SPOSATO
Title
OPERATIONS DIRECTOR
Phone
(646) 208-1456

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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