Dr. Naushad Ratan Edibam, DMD
Dentist, Oral and Maxillofacial Surgery in Mansfield Center, CT. Individual provider (NPI-1).
NPI number1982802294
StatusActive
Last updated in NPPESNov 7, 2016
Details
- NPI
- 1982802294
- Entity type
- Individual (NPI-1)
- Name
- Dr. Naushad Ratan Edibam
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2007
- Last updated
- Nov 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 009711 | CT | Yes |
Practice location
10 Higgins Hwy#10
Mansfield Center, CT 06250-1437
Phone 860-423-2587
Mailing address
27 Bridge St#10
Stamford, CT 06905-4501
Phone 203-325-2661 · Fax 203-323-5611
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