Organization
NAS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL NASIMOV DDS (DENTIST/OWNER)
(203) 859-5239
Entity
Organization
Contact information
Practice address
214 GRAND AVE, NEW HAVEN, CT 06513-3721
(203) 589-5239
Mailing address
214 GRAND AVE, NEW HAVEN, CT 06513-3721
(203) 589-5239
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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