| Thomas P. Petrick Dmd And Theodore J. Katz Dds, Pc | |
|
157 Goose Ln Guilford CT 06437-2100 | |
| (203) 453-4475 | |
| (203) 453-3314 |
| Full Name | Thomas P. Petrick Dmd And Theodore J. Katz Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 157 Goose Ln, Guilford, Connecticut |
| Authorized Official Name and Position | Wendy Jean Hackett (INSURANCE CO-ORDINATOR) |
| Authorized Official Contact | 2034534475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P. Petrick Dmd And Theodore J. Katz Dds, Pc 157 Goose Ln Guilford CT 06437-2100 Ph: (203) 453-4475 | Thomas P. Petrick Dmd And Theodore J. Katz Dds, Pc 157 Goose Ln Guilford CT 06437-2100 Ph: (203) 453-4475 |
| NPI Number | 1003903683 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003903683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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