Organization
ADVANCED DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON BETSER (MANAGER)
(203) 357-1111
Entity
Organization
Contact information
Practice address
1250 SUMMER ST, SUITE 302, STAMFORD, CT 06905-5358
(203) 357-1111
Mailing address
1250 SUMMER ST, SUITE 302, STAMFORD, CT 06905-5358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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