Organization
BROOKFIELD ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMANK GUPTA DMD (OWNER ORTHODONTIST)
(203) 775-9463
Entity
Organization
Contact information
Practice address
304 FEDERAL RD STE 305, BROOKFIELD, CT 06804-2422
(203) 775-9463
Mailing address
304 FEDERAL RD STE 305, BROOKFIELD, CT 06804-2422
(203) 775-9463
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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