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1235719378
SUPREME DENTAL, LLC
STAMFORD, CT
NPI
1235719378
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Entity Type
Organization
Authorized Contact
MOHAMMADREZA GHORBANIPARVAR
Member
203-348-5612
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2021-04-13
Last Update Date
2021-04-28
Business Address
SUPREME DENTAL, LLC
44 STRAWBERRY HILL AVE STE 9
STAMFORD, CT 06902-2632
Phone number: 774-345-9799
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Mailing Address
SUPREME DENTAL, LLC
44 STRAWBERRY HILL AVE STE 9
STAMFORD, CT 06902-2632
Phone number: 774-345-9799
Copy
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