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1194301036
IDENT PC
STAMFORD, CT
NPI
1194301036
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Entity Type
Organization
Authorized Contact
ADAM SPOSATO
Operations Director
646-208-1456
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
IDENT PC
711 CANAL ST # 250
STAMFORD, CT 06902-6094
Phone number: 203-548-0826
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Mailing Address
IDENT PC
200 WESTAGE BUSINESS CTR DR STE 233
FISHKILL, NY 12524-2262
Phone number: 845-897-2097
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