Organization
DENTAL PERMANENTE OF STAMFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YINGJIE WU (OWNER)
(203) 324-3245
Entity
Organization
Contact information
Practice address
868 E MAIN ST, STAMFORD, CT 06902-3926
(203) 324-3245
Mailing address
868 E MAIN ST, STAMFORD, CT 06902-3926
(203) 324-3245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009611
CT
Other
Enumeration date
07/22/2015
Last updated
08/20/2015
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