NPI | 1518247949 |
---|---|
Doing Business As | STAMFORD ORTHODONTIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SHYAM DESAI Owner 203-374-1911 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 009802) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2011-10-20 |