Organization
MERRITT FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMUTHA RAGURAM DDS (DENTIST)
(650) 576-8237
Entity
Organization
Contact information
Practice address
999 SUMMER ST STE 306, STAMFORD, CT 06905-5513
(203) 356-9990
Mailing address
999 SUMMER ST STE 306, STAMFORD, CT 06905-5513
(203) 356-9990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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