Organization
DENTAL ONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEIKH M ILYAS DDS (OWNER)
(203) 850-2007
Entity
Organization
Contact information
Practice address
71 EAST AVE STE A, NORWALK, CT 06851-4903
(203) 850-2007
(203) 286-1230
Mailing address
PO BOX 5238, BROOKFIELD, CT 06804-5238
(203) 850-2007
(203) 286-1230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009413
CT
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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