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The Dental Center Of Westport

Dentist, General Practice in Westport, CT. Organization (NPI-2).

NPI number1104983345
StatusActive
Last updated in NPPESFeb 4, 2013

Details

NPI
1104983345
Entity type
Organization (NPI-2)
Legal business name
The Dental Center Of Westport
Organization subpart
No
Enumeration date
Jan 3, 2007
Last updated
Feb 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice8491CTYes

Practice location

250 Main St
Westport, CT 06880-2431

Phone 203-227-8700 · Fax 203-227-0680

Mailing address

250 Main St
Westport, CT 06880-2431

Phone 203-227-8700 · Fax 203-227-0680

Authorized official

Masha Kogan
Dentist
2032278700

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