Individual
VALERIAN BERISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3516
(203) 335-4413
Mailing address
1809 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13733
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2022
Last updated
09/09/2024
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