Organization
UNIQUE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR ZYOUD (OWNER)
(617) 312-9177
Entity
Organization
Contact information
Practice address
64 GROVE ST, PUTNAM, CT 06260-2110
(617) 312-9177
(508) 302-0272
Mailing address
64 GROVE ST, PUTNAM, CT 06260-2110
(617) 312-9177
(508) 302-0272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009553
CT
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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