Organization
CT BRACES NEWTOWN ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM DESAI DMD (OWNER/ORTHODONTIST)
(203) 615-3666
Entity
Organization
Contact information
Practice address
12 QUEEN ST, NEWTOWN, CT 06470-2158
(203) 270-0005
(203) 683-0524
Mailing address
63 COVENTRY LN, TRUMBULL, CT 06611-1061
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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