Organization
CT BRACES, LLC
Active
Other names
Stamford Orthodontic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAM DESAI D.M.D (OWNER)
(203) 374-1911
Entity
Organization
Contact information
Practice address
456 GLENBROOK RD, SUITE #4, STAMFORD, CT 06906-1800
(203) 252-2181
Mailing address
456 GLENBROOK RD, SUITE #4, STAMFORD, CT 06906-1800
(203) 252-2181
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
009802
CT
Other
Enumeration date
08/17/2011
Last updated
10/20/2011
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