Organization
STAMFORD ORAL & MAXILLOFACIAL SURGERY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J CASE DMD (PRES)
(203) 325-2661
Entity
Organization
Contact information
Practice address
27 BRIDGE STREET, STAMFORD, CT 06905-4597
(203) 325-2661
(203) 323-5611
Mailing address
27 BRIDGE STREET, STAMFORD, CT 06905-4597
(203) 325-2661
(203) 323-5611
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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