Organization
DIRECT DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMIL BLANK DDS (DENTIST)
(203) 890-9191
Entity
Organization
Contact information
Practice address
70 MILL RIVER ST STE UL2, STAMFORD, CT 06902-3725
(203) 890-9191
(203) 890-9193
Mailing address
70 MILL RIVER ST STE UL2, STAMFORD, CT 06902-3725
(203) 890-9191
(203) 890-9193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11954
CT
Other
Enumeration date
05/08/2018
Last updated
08/17/2018
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