Organization
ELM STREET DENTAL
Active
Other names
Dental Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAM TAYAL D.D.S. (DENTIST)
(716) 239-5889
Entity
Organization
Contact information
Practice address
1100 BARNUM AVE, STRATFORD, CT 06614-4901
(716) 239-5889
Mailing address
1100 BARNUM AVE, STRATFORD, CT 06614-4901
(716) 239-5889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010825
CT
Other
Enumeration date
10/18/2012
Last updated
11/24/2015
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