| Dental Center | |
|
5065 Main Street #1118 Trumbull CT 06611 | |
| (203) 373-9099 | |
| (203) 373-9299 |
| Full Name | Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 5065 Main Street, Trumbull, Connecticut |
| Authorized Official Name and Position | Yelena Taran (DOCTOR) |
| Authorized Official Contact | 7186253106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center 5065 Main St #1118 Trumbull CT 06611-4204 Ph: (203) 373-9099 | Dental Center 5065 Main Street #1118 Trumbull CT 06611 Ph: (203) 373-9099 |
| NPI Number | 1700191590 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 08/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700191590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 009326 (Connecticut) | Primary |
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