Organization
STAMFORD DENTAL SPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMTA V PATEL DDS (OWNER)
(203) 324-7777
Entity
Organization
Contact information
Practice address
124 BROAD ST, STAMFORD, CT 06901-2702
(203) 324-7777
Mailing address
124 BROAD ST, STAMFORD, CT 06901-2702
(203) 324-7777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CT
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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