Organization
CT BRACES, LLC
Active
Other names
New Haven Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAM DESAI D.M.D (OWNER)
(203) 374-1911
Entity
Organization
Contact information
Practice address
881 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 374-1911
Mailing address
3741 MAIN ST, BRIDGEPORT, CT 06606-3609
(203) 374-1911
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
009802
CT
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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