Organization
ALL BRIGHT DENTAL SPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADIY KRAVETS D.M.D. (OWNER)
(617) 306-1078
Entity
Organization
Contact information
Practice address
51 SCHUYLER AVE, SUITE 1A, STAMFORD, CT 06902-3761
(203) 324-7596
(203) 324-0554
Mailing address
51 SCHUYLER AVE, SUITE 1A, STAMFORD, CT 06902-3761
(203) 324-7596
(203) 324-0554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010655
CT
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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