Ident at Harbor Point PC

NPI #1982964516 in Stamford, Connecticut

Provider Information

NPI Number: 1982964516
Entity Type: Organization
Organization Name: Ident at Harbor Point PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 16, 2012
Last Updated: May 16, 2012

Practice Location

Address: 711 CANAL ST
City: Stamford
State: Connecticut
ZIP Code: 06902-5902
Phone: (845) 897-2097

Authorized Official

Name: DR. JOSEPH FERTUCCI, DDS
Title: PRESIDENT
Phone: (845) 897-2097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - General Practice — General Practice	1223G0001X	Primary

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