Organization
ADMIRE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARAM TAYAL (MEMBER)
(203) 873-0650
Entity
Organization
Contact information
Practice address
123 FARMINGTON AVE, P2, BRISTOL, CT 06010-4200
(860) 845-8872
Mailing address
1100 BARNUM AVE, STRATFORD, CT 06614-4901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
10/22/2015
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