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Organization
DR DENTAL OF STRATFORD
Active
Organization
DR DENTAL OF STRATFORD
Active
Other names
Dr. Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR REVECHKIS (MANAGER)
(201) 725-0372
Entity
Organization
Contact information
Practice address
200 E MAIN ST, UNIT 13, STRATFORD, CT 06614-5114
(203) 378-8500
(203) 378-8501
Mailing address
200 E MAIN ST, UNIT 13, STRATFORD, CT 06614-5114
(203) 378-8500
(203) 378-8501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010025
CT
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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