| Jeralyn R. Fantarella, Dmd, P.c. | |
|
299 Washington Ave Hamden CT 06518-3026 | |
| (203) 288-4855 | |
| (203) 288-9812 |
| Full Name | Jeralyn R. Fantarella, Dmd, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 299 Washington Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Jeralyn R Fantarella (OWNER) |
| Authorized Official Contact | 2032884855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeralyn R. Fantarella, Dmd, P.c. 299 Washington Ave Hamden CT 06518-3026 Ph: (203) 288-4855 | Jeralyn R. Fantarella, Dmd, P.c. 299 Washington Ave Hamden CT 06518-3026 Ph: (203) 288-4855 |
| NPI Number | 1891970166 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891970166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7613 (Connecticut) | Primary |
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