Ct Braces Stamford Orthodontics PC
Dentist, Orthodontics and Dentofacial Orthopedics in Stamford, CT. Organization (NPI-2).
NPI number1174907331
StatusActive
Last updated in NPPESJul 16, 2015
Details
- NPI
- 1174907331
- Entity type
- Organization (NPI-2)
- Legal business name
- Ct Braces Stamford Orthodontics PC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2015
- Last updated
- Jul 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 009802 | CT | Yes |
Practice location
456 Glenbrook RdStamford, CT 06906-1800
Phone 203-374-1911 · Fax 203-683-0524
Mailing address
456 Glenbrook RdStamford, CT 06906-1800
Phone 203-374-1911 · Fax 203-683-0524
Authorized official
Shyam Desai
Owner/Orthodontist
2033741911
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