Organization
STRATFORD FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRITIZA KHADKA SUBEDI DMD, BDS (OWNER)
(203) 260-1929
Entity
Organization
Contact information
Practice address
2261 BROADBRIDGE AVE, STRATFORD, CT 06614-3860
(203) 375-4633
Mailing address
112 SOUNDVIEW AVE, FAIRFIELD, CT 06825-7435
(203) 260-1929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11430
CT
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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