Fantarella Dental Group

NPI #1588141972 in North Haven, Connecticut

Provider Information

NPI Number: 1588141972
Entity Type: Organization
Organization Name: Fantarella Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 27, 2018
Last Updated: Jul 27, 2018

Practice Location

Address: 127 WASHINGTON AVE
City: North Haven
State: Connecticut
ZIP Code: 06473-1715
Phone: (203) 239-1155

Authorized Official

Name: JACQUELINE QUESNEL
Title: CHIEF OPERATING OFFICER
Phone: (203) 239-1155

Specialties & Taxonomy Codes

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

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