Nadimi Dental Care LLC
Dentist in Wolcott, CT. Organization (NPI-2).
NPI number1417455171
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1417455171
- Entity type
- Organization (NPI-2)
- Legal business name
- Nadimi Dental Care LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2018
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 011295 | CT | Yes |
Practice location
504 Wolcott RdWolcott, CT 06716-2430
Phone 203-879-9411 · Fax 203-441-4375
Mailing address
504 Wolcott Rd Ste 1aWolcott, CT 06716-2430
Phone 203-879-9411 · Fax 203-441-4375
Authorized official
Mohamad Hadi Nadimi
Dentist
2038799411
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