Organization
DISTINCTIVE DENTAL SERVICE RIDGEFIELD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFREN CORTES DDS (OWNER)
(203) 222-1444
Entity
Organization
Contact information
Practice address
80 GROVE ST, RIDGEFIELD, CT 06877-4104
(203) 431-4344
Mailing address
320 FALLOWFIELD RD, FAIRFIELD, CT 06824-1616
(203) 767-9605
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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