Northeasr Dental of Long Wharf PC
NPI #1245627561 in New Haven, Connecticut
Provider Information
- NPI Number
- 1245627561
- Entity Type
- Organization
- Organization Name
- Northeasr Dental of Long Wharf PC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 24, 2015
- Last Updated
- Apr 24, 2015
Practice Location
- Address
- 1 LONG WHARF DR
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06511-5991
- Phone
- (732) 610-8265
Authorized Official
- Name
- VIRGINIA WICKE
- Title
- COO
- Phone
- (732) 610-8265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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