Center for Esthetic and Restorative Dentistry, LLC

NPI #1043420441 in Guilford, Connecticut

Provider Information

NPI Number: 1043420441
Entity Type: Organization
Organization Name: Center for Esthetic and Restorative Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: May 23, 2007
Last Updated: Dec 2, 2008

Practice Location

Address: 47 CLAPBOARD HILL RD STE 3
City: Guilford
State: Connecticut
ZIP Code: 06437-2282
Phone: (203) 458-1992

Authorized Official

Name: JAMES HEISE, D.D.S.
Title: CO-OWNER
Phone: (203) 458-1992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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