Organization
STAMFORD PLAZA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR REVECHKIS (MANAGING PARTNER)
(201) 725-0372
Entity
Organization
Contact information
Practice address
1990 W MAIN ST, STAMFORD, CT 06902-4563
(201) 725-0372
Mailing address
1990 W MAIN ST, STAMFORD, CT 06902-4563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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