Family Dental Practice PC
NPI #1376789966 in Stamford, Connecticut
Provider Information
- NPI Number
- 1376789966
- Entity Type
- Organization
- Organization Name
- Family Dental Practice PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 2, 2009
- Last Updated
- Jan 2, 2009
Practice Location
- Address
- 316 HOPE ST
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06906-1704
- Phone
- (203) 353-8532
Authorized Official
- Name
- DR. OLGA GONCHAROVA, DDS
- Title
- OWNER
- Phone
- (203) 353-8532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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