Organization
PRIME DENTAL LLC
Active
Other names
Prime Dental, Grand Dental
Organization subpart
No
Provider details
NPI number
Authorized official
IFFAT NAZNEEN (DENTIST)
(203) 691-6145
Entity
Organization
Contact information
Practice address
249 W MAIN ST STE 15, BRANFORD, CT 06405-4048
(203) 691-6145
(203) 691-5515
Mailing address
249 W MAIN ST STE 15, BRANFORD, CT 06405-4048
(203) 691-6145
(203) 691-5515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
04/16/2026
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