Orange Center Dentistry PC

NPI #1053795070 in Derby, Connecticut

Provider Information

NPI Number: 1053795070
Entity Type: Organization
Organization Name: Orange Center Dentistry PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 676 NEW HAVEN AVE
Address 2: SUITE A-3
City: Derby
State: Connecticut
ZIP Code: 06418-2500
Phone: (475) 777-5108

Authorized Official

Name: CHRISTOPHER C. COGGUILLO, DDS
Title: PRESIDENT
Phone: (475) 777-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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