| New Haven Oral & Maxillofacial Surgery Assoc. Pc | |
|
310 Main St East Haven CT 06512-2919 | |
| (203) 468-7181 | |
| (203) 469-8058 |
| Full Name | New Haven Oral & Maxillofacial Surgery Assoc. Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 310 Main St, East Haven, Connecticut |
| Authorized Official Name and Position | Ronald Richard Montano (PRESIDENT) |
| Authorized Official Contact | 2034698057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Oral & Maxillofacial Surgery Assoc. Pc 310 Main St East Haven CT 06512-2919 Ph: (203) 468-7181 | New Haven Oral & Maxillofacial Surgery Assoc. Pc 310 Main St East Haven CT 06512-2919 Ph: (203) 468-7181 |
| NPI Number | 1437346632 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437346632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4184 (Connecticut) | Primary |
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