Organization
DENT PLUS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN MAKAR (CO-OWNER)
(203) 504-2786
Entity
Organization
Contact information
Practice address
99 PROSPECT ST UNIT 1C, STAMFORD, CT 06901-1636
(203) 504-2787
Mailing address
99 PROSPECT ST UNIT 1C, STAMFORD, CT 06901-1636
(203) 504-2786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11204
CT
Other
Enumeration date
10/08/2014
Last updated
06/08/2015
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