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Organization
NORWALK FAMILY DENTAL, PC
Active
Organization
NORWALK FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZNEEN REHAN JAFFRI DDS (PRESIDENT)
(917) 886-9048
Entity
Organization
Contact information
Practice address
26 CHESTNUT HILL RD, NORWALK, CT 06851-2524
(203) 846-3251
(203) 846-3870
Mailing address
26 CHESTNUT HILL RD, NORWALK, CT 06851-2524
(203) 846-3251
(203) 846-3870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11707
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008068762
—
CT
Enumeration date
05/26/2017
Last updated
07/21/2022
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