Individual
STANISLAV GINTAUTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
587 ELM ST, STAMFORD, CT 06902-5113
(203) 359-6888
Mailing address
55 ELM ST, LYNBROOK, NY 11563-3629
(646) 684-5717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010226
CT
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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