Organization
DENTAL SOLUTIONS KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS ALTAGRACIA PIMENTEL DMD (EMPLOYER)
(917) 365-0513
Entity
Organization
Contact information
Practice address
169 EAST AVE, NORWALK, CT 06851-5712
(917) 365-0513
Mailing address
169 EAST AVE, NORWALK, CT 06851-5712
(917) 365-0513
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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