New Haven Dental Group
NPI #1205976123 in Branford, Connecticut
Provider Information
- NPI Number
- 1205976123
- Entity Type
- Organization
- Organization Name
- New Haven Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Jun 27, 2012
Practice Location
- Address
- 195 MONTOWESE ST
- City
- Branford
- State
- Connecticut
- ZIP Code
- 06405-3824
- Phone
- (203) 488-0091
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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