Organization
FAMILY DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDOLLAH NADIMI D.D.S (OWNER)
(203) 879-9411
Entity
Organization
Contact information
Practice address
503 WOLCOTT ROAD, WOLCOTT, CT 06716
(203) 879-9411
(203) 879-9383
Mailing address
503 WOLCOTT ROAD, WOLCOTT, CT 06716
(203) 879-9411
(203) 879-9383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008495
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002084953
—
CT
Enumeration date
01/25/2007
Last updated
07/29/2008
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