| Drysgula Family Dentistry Llc | |
|
775 Washington St Middletown CT 06457-2903 | |
| (860) 347-6100 | |
| (860) 347-3095 |
| Full Name | Drysgula Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 775 Washington St, Middletown, Connecticut |
| Authorized Official Name and Position | Michael Alexander Drysgula (OWNER) |
| Authorized Official Contact | 8603476100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drysgula Family Dentistry Llc 775 Washington St Middletown CT 06457-2903 Ph: (860) 347-6100 | Drysgula Family Dentistry Llc 775 Washington St Middletown CT 06457-2903 Ph: (860) 347-6100 |
| NPI Number | 1750414488 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750414488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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