Edward Shukovsky
Edward Shukovsky is a Dentist in Stamford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.
- Licensed in
- CT
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
1290 Summer St Ste 3400Stamford, CT 06905-5360
Phone: (203) 348-2411
Fax: (203) 348-5895
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 005762 (CT) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1619362571 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Shukovsky — Owner · (203) 348-2411 |
| NPI enumerated | March 30, 2015 |
| Last updated in NPPES | March 30, 2015 |
| Mailing address | 1290 Summer St, Suite 3400, Stamford, CT 06905-5360 |
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