Periodontal Associates, LLC
NPI #1558364091 in Stamford, Connecticut
Provider Information
- NPI Number
- 1558364091
- Entity Type
- Organization
- Organization Name
- Periodontal Associates, LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- May 29, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 61 4TH ST
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06905-5010
- Phone
- (203) 323-5900
Authorized Official
- Name
- DR. ROBERT CHUNG, DDS
- Title
- MEMBER
- Phone
- (203) 323-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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