John G. Fatse, Dmd, LLC

NPI #1023235827 in Monroe, Connecticut

Provider Information

NPI Number: 1023235827
Entity Type: Organization
Organization Name: John G. Fatse, Dmd, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 324 ELM ST
Address 2: SUITE 202A
City: Monroe
State: Connecticut
ZIP Code: 06468-2280
Phone: (203) 268-5051

Authorized Official

Name: DR. JOHN G FATSE, D.M.D.
Title: OWNER, DENTIST
Phone: (203) 268-5051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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