Radmand, Reza

Radmand, Reza is an sole proprietor health care provider with primary practice located at 2318 Main St , Stratford CT 06615-5966. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Radmand, Reza can be contacted via phone (203) 375-1649.

Contact Information

Primary practice address
2318 Main St Stratford CT 06615-5966
Phone: (203) 375-1649
Fax: (203) 377-5251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 38118 California
Dental Providers / General Practice 1223G0001X 10264 Connecticut

Profile Details

NPI number 1396800702
LBN Legal business name Radmand, Reza
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jul 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396800702 NPPES
California MEDICAID G91540

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