| NPI | 1437873122 |
|---|---|
| Doing Business As | STAMFORD PLAZA FAMILY DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH RUDDY CFO 508-505-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |