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Organization
DR DENTAL OF NORWALK PC
Active
Organization
DR DENTAL OF NORWALK PC
Active
Other names
Dr. Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR REVECHKIS (MANAGING PARTNER)
(201) 725-0372
Entity
Organization
Contact information
Practice address
360 CONNECTICUT AVE, NORWALK, CT 06854-1824
(201) 725-0372
Mailing address
360 CONNECTICUT AVE, NORWALK, CT 06854-1824
(201) 725-0372
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
010025
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010025
—
CT
Enumeration date
10/27/2011
Last updated
10/27/2011
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