Progressive Dentistry Of Ct, P.c. | |
315 Whitney Ave Suite 6 New Haven CT 06511-3715 | |
(203) 776-8556 | |
(203) 776-1475 |
Full Name | Progressive Dentistry Of Ct, P.c. |
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Speciality | Dentist - General Practice |
Location | 315 Whitney Ave, New Haven, Connecticut |
Authorized Official Name and Position | Fredric L Rosen (PRESIDENT) |
Authorized Official Contact | 2037768556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Progressive Dentistry Of Ct, P.c. 315 Whitney Ave Suite 6 New Haven CT 06511-3715 Ph: (203) 776-8556 | Progressive Dentistry Of Ct, P.c. 315 Whitney Ave Suite 6 New Haven CT 06511-3715 Ph: (203) 776-8556 |
NPI Number | 1508180753 |
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Provider Enumeration Date | 03/17/2010 |
Last Update Date | 03/17/2010 |
Identifier | Type | State | Issuer |
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1508180753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4397 (Connecticut) | Primary |
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