Dr.dental of New Haven, PC
NPI #1104187673 in New Haven, Connecticut
Provider Information
- NPI Number
- 1104187673
- Entity Type
- Organization
- Organization Name
- Dr.dental of New Haven, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 31, 2012
- Last Updated
- May 31, 2012
Practice Location
- Address
- 122 AMITY ROAD
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06515
- Phone
- (203) 671-8949
Authorized Official
- Name
- KAYNE MICHAEL BOSMA
- Title
- MANAGING DIRECTOR
- Phone
- (203) 671-8949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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