Organization
LASTING SMILES OF STRATFORD, LLC
Active
Other names
Barnum Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAM TAYAL DDS (OWNER)
(203) 378-2760
Entity
Organization
Contact information
Practice address
1100 BARNUM AVE, STRATFORD, CT 06614-4901
(203) 873-0650
(203) 845-1829
Mailing address
1100 BARNUM AVE, STRATFORD, CT 06614-4901
(203) 873-0650
(203) 845-1829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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