Individual
DR. FRIDA DAVYDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1990 W MAIN ST, STAMFORD, CT 06902-4563
(203) 327-1100
Mailing address
8006 209TH ST, QUEENS VILLAGE, NY 11427-1009
(917) 568-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13532
CT
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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