| East Of The River Oral And Maxillofacial Surgery | |
|
281 Hartford Tpke Ste 307 Vernon CT 06066-4707 | |
| (860) 872-8331 | |
| Not Available |
| Full Name | East Of The River Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 281 Hartford Tpke Ste 307, Vernon, Connecticut |
| Authorized Official Name and Position | Gary Todd Fishbein (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8608728331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Of The River Oral And Maxillofacial Surgery 281 Hartford Tpke Ste 307 Vernon CT 06066-4707 Ph: (860) 872-8331 | East Of The River Oral And Maxillofacial Surgery 281 Hartford Tpke Ste 307 Vernon CT 06066-4707 Ph: (860) 872-8331 |
| NPI Number | 1629595145 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 08/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629595145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11333 (Connecticut) | Primary |
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