| Mogelof Dental Group, Llc | |
|
2499 Main St Stratford CT 06615-5843 | |
| (203) 378-5588 | |
| Not Available |
| Full Name | Mogelof Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2499 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Andrew Mogelof (OWNER) |
| Authorized Official Contact | 2033785588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mogelof Dental Group, Llc 2499 Main St Stratford CT 06615-5843 Ph: (203) 378-5588 | Mogelof Dental Group, Llc 2499 Main St Stratford CT 06615-5843 Ph: (203) 378-5588 |
| NPI Number | 1528072493 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528072493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4914 (Connecticut) | Primary |
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