Organization
ADVANCED DENTAL SLEEP MEDICINE OF CONNECTICUT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA RADMAND D.M.D. (PRESIDENT)
(844) 557-1701
Entity
Organization
Contact information
Practice address
2318 MAIN ST, STRATFORD, CT 06615-5966
(203) 375-1649
Mailing address
2318 MAIN ST, STRATFORD, CT 06615-5966
(844) 557-1701
(888) 956-3939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10264
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7596600001
MEDICARE NSC
CT
Enumeration date
04/13/2016
Last updated
07/21/2022
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