Stamford Dental Spa PC

NPI #1356731632 in Stamford, Connecticut

Provider Information

NPI Number: 1356731632
Entity Type: Organization
Organization Name: Stamford Dental Spa PC
Primary Specialty: Dentist
Enumeration Date: Jan 26, 2015
Last Updated: Jan 26, 2015

Practice Location

Address: 124 BROAD ST
City: Stamford
State: Connecticut
ZIP Code: 06901-2702
Phone: (203) 324-7777

Authorized Official

Name: DR. MAMTA V PATEL, DDS
Title: OWNER
Phone: (203) 324-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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