New Haven Dental Group
NPI #1174663579 in Woodbridge, Connecticut
Provider Information
- NPI Number
- 1174663579
- Entity Type
- Organization
- Organization Name
- New Haven Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Jun 27, 2012
Practice Location
- Address
- 3 RESEARCH DR
- City
- Woodbridge
- State
- Connecticut
- ZIP Code
- 06525-2348
- Phone
- (203) 389-7080
Authorized Official
- Name
- MR. GREGORY GIBSON
- Title
- ADMINISTRATOR
- Phone
- (203) 781-8051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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