Organization
FAMILY PRACTICE DENTISTRY OF RIDGEFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFSTATHIOS GIANNOUTSOS DDS (OWNER)
(203) 544-8771
Entity
Organization
Contact information
Practice address
710 BRANCHVILLE RD, RIDGEFIELD, CT 06877-6129
(203) 544-8771
Mailing address
710 BRANCHVILLE RD, RIDGEFIELD, CT 06877-6129
(203) 544-8771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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