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Organization
DENTAL ASSOCIATE GROUP LLC
Active
Organization
DENTAL ASSOCIATE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEIKH M ILYAS D.D.S (OWNER)
(203) 374-0000
Entity
Organization
Contact information
Practice address
4154 MADISON AVE, 2ND FLOOR, TRUMBULL, CT 06611-3563
(203) 374-0000
(203) 374-0002
Mailing address
4154 MADISON AVE, 2ND FLOOR, TRUMBULL, CT 06611-3563
(203) 374-0000
(203) 374-0002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009413
CT
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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