| Ezra Friedman Dds | |
|
464 Wolcott Rd Ste 2 Wolcott CT 06716-2626 | |
| (203) 879-4649 | |
| (203) 879-5560 |
| Full Name | Ezra Friedman Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 464 Wolcott Rd Ste 2, Wolcott, Connecticut |
| Authorized Official Name and Position | Ezra Friedman (OWNER) |
| Authorized Official Contact | 2038794649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezra Friedman Dds 464 Wolcott Rd Ste 2 Wolcott CT 06716-2626 Ph: (203) 879-4649 | Ezra Friedman Dds 464 Wolcott Rd Ste 2 Wolcott CT 06716-2626 Ph: (203) 879-4649 |
| NPI Number | 1134774953 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134774953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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