Organization
BRANFORD DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAM P TAYAL DDS (OWNER)
(203) 864-3430
Entity
Organization
Contact information
Practice address
1100 BARNUM AVE, STRATFORD, CT 06614
(203) 864-3430
(203) 378-2759
Mailing address
1060 WEST MAIN STREET, BRANDFORD, CT 06405
(203) 864-3430
(203) 378-2759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010878
CT
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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