| Family Dentistry Of Derby | |
|
115 New Haven Ave Derby CT 06418-2154 | |
| (203) 751-9667 | |
| Not Available |
| Full Name | Family Dentistry Of Derby |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 New Haven Ave, Derby, Connecticut |
| Authorized Official Name and Position | Tetyana Pohorletska (MANAGER) |
| Authorized Official Contact | 3473231715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Derby 115 New Haven Ave Derby CT 06418-2154 Ph: (347) 323-1715 | Family Dentistry Of Derby 115 New Haven Ave Derby CT 06418-2154 Ph: (203) 751-9667 |
| NPI Number | 1205563822 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205563822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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