| Grassy Hill Dentistry | |
|
676 New Haven Ave Suite A-3 Derby CT 06418-2500 | |
| (475) 777-5108 | |
| (475) 777-5118 |
| Full Name | Grassy Hill Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 676 New Haven Ave, Derby, Connecticut |
| Authorized Official Name and Position | Christopher C. Cogguillo (PRESIDENT) |
| Authorized Official Contact | 4757775108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassy Hill Dentistry 676 New Haven Ave Suite A-3 Derby CT 06418-2500 Ph: (475) 777-5108 | Grassy Hill Dentistry 676 New Haven Ave Suite A-3 Derby CT 06418-2500 Ph: (475) 777-5108 |
| NPI Number | 1053795070 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053795070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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