Individual
MEHRAN ZAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 3RD ST, STAMFORD, CT 06905-5140
(203) 325-4700
(203) 327-7832
Mailing address
19 3RD ST, STAMFORD, CT 06905-5140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008810
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002088103
—
CT
Enumeration date
11/07/2005
Last updated
07/08/2007
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