Supreme Dental, LLC
NPI #1235719378 in Stamford, Connecticut
Provider Information
- NPI Number
- 1235719378
- Entity Type
- Organization
- Organization Name
- Supreme Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 13, 2021
- Last Updated
- Apr 28, 2021
Practice Location
- Address
- 44 STRAWBERRY HILL AVE STE 9
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06902-2632
- Phone
- (774) 345-9799
Authorized Official
- Name
- MOHAMMADREZA GHORBANIPARVAR, DDS
- Title
- MEMBER
- Phone
- (203) 348-5612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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