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Organization

PENTA DENTAL LC

Active
Other names
ADMIRE DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DHARAM TAYAL DDS (MEMBER)
(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
010878
CT

Other

Enumeration date
04/07/2017
Last updated
04/07/2017
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