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Organization
ORANGE CENTER DENTISTRY PC
Active
Organization
ORANGE CENTER DENTISTRY PC
Active
Other names
Grassy Hill Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER C. COGGUILLO DDS (PRESIDENT)
(475) 777-5108
Entity
Organization
Contact information
Practice address
676 NEW HAVEN AVE, SUITE A-3, DERBY, CT 06418-2500
(475) 777-5108
(475) 777-5118
Mailing address
676 NEW HAVEN AVE, SUITE A-3, DERBY, CT 06418-2500
(475) 777-5108
(475) 777-5118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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