Organization
FAMILY DENTISTRY OF STAMFORD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AGABABAEV DDS (PRESIDENT)
(718) 887-1397
Entity
Organization
Contact information
Practice address
1 STRAWBERRY HILL CT, STE L6, STAMFORD, CT 06902-2548
(203) 883-8330
Mailing address
1 STRAWBERRY HILL CT, STE L6, STAMFORD, CT 06902-2548
(203) 883-8330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010091
CT
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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