Organization
DR DENTAL OF STRATFORD
Active
Other names
Dr. Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR REVECHKIS (MANAGER)
(201) 725-0372
Entity
Organization
Contact information
Practice address
200 E MAIN ST, UNIT 13, STRATFORD, CT 06614-5114
(203) 378-8500
(203) 378-8501
Mailing address
200 E MAIN ST, UNIT 13, STRATFORD, CT 06614-5114
(203) 378-8500
(203) 378-8501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010025
CT
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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