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Elad Yossefi

Dentist in Norwalk, CT. Individual provider (NPI-1).

NPI number1356796551
StatusActive
Last updated in NPPESNov 8, 2020

Details

NPI
1356796551
Entity type
Individual (NPI-1)
Name
Elad Yossefi
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 26, 2016
Certification date
Nov 8, 2020
Last updated
Nov 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist11713CTYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

454 Main Ave
Norwalk, CT 06851-1063

Phone 203-364-5084

Mailing address

454 Main Ave
Norwalk, CT 06851-1063

Phone 203-364-5084

Other practice locations

14130 Pershing Cres Apt 6l
Jamaica, NY 11435-1926

Phone 347-264-8204

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