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Organization
BRASS CITY DENTISTRY
Active
Organization
BRASS CITY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILAL AHMED DDS (DENTIST)
(317) 437-3221
Entity
Organization
Contact information
Practice address
3670 E MAIN ST, SUITE 10, WATERBURY, CT 06705-3851
(203) 754-0184
Mailing address
211 POMEROY AVE, UNIT 1102, MERIDEN, CT 06450-7165
(317) 437-3221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010751
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008040721
—
CT
05
—
008040725
—
CT
Enumeration date
01/19/2013
Last updated
01/19/2013
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