Organization
ICARE DENTAL LLC
Active
Other names
South Main Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAM TAYAL (DENTIST)
(716) 239-5889
Entity
Organization
Contact information
Practice address
49 S MAIN STREET, TORRINGTON, CT 06790-6430
(716) 239-5889
Mailing address
1100 BARNUM AVE, STRATFORD, CT 06614-4901
(203) 378-2760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010878
CT
Other
Enumeration date
07/09/2014
Last updated
12/14/2015
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