Individual
ELAD YOSSEFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
454 MAIN AVE, NORWALK, CT 06851-1063
(203) 364-5084
Mailing address
454 MAIN AVE, NORWALK, CT 06851-1063
(203) 364-5084
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11713
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2016
Last updated
11/08/2020
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