ERVIN AGABABAEV DDS
Dentist


Address: 1000 Newfield Ave, Stamford, CT 06905

ERVIN AGABABAEV DDS (Credential# 702864) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

ERVIN AGABABAEV DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008408. The credential type is dentist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 1000 Newfield Ave, Stamford, CT 06905. The current status is active.

Basic Information

Licensee Name ERVIN AGABABAEV DDS
Credential ID 702864
Credential Number 2.008408
Credential Type Dentist
Business Address 1000 Newfield Ave
Stamford
CT 06905
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1997-09-12
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
187704 CSP.0026104 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 1000 NEWFIELD AVE
City STAMFORD
State CT
Zip Code 06905

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Competitor

Search similar business entities

City STAMFORD
Zip Code 06905
License Type Dentist
License Type + County Dentist + STAMFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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