Organization
SHORELINE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIHAM KALTA DMD (DENTIST/OWNER)
(203) 453-2272
Entity
Organization
Contact information
Practice address
652 BOSTON POST RD, SUITE 12, GUILFORD, CT 06437-2719
(203) 453-2272
(203) 453-4991
Mailing address
652 BOSTON POST RD, SUITE 12, GUILFORD, CT 06437-2719
(203) 453-2272
(203) 453-4991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9546
CT
Other
Enumeration date
01/20/2011
Last updated
05/22/2012
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