# DR. DENTAL OF CHURCH STREET, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578955860
- **Authorized official:** MR. ALEX FAIGEL (MANAGING DIRECTOR)
- **Authorized official phone:** (617) 823-2111

## Contact information

- **Practice address:** 89 CHURCH ST, NEW HAVEN, CT 06510-3009
- **Practice address phone:** (617) 823-2111
- **Mailing address:** 55 MERIDIAN ST, EAST BOSTON, MA 02128-1959
- **Mailing address phone:** (617) 823-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | CT | Yes |

## Other

- **Enumeration date:** 02/24/2015
- **Last updated:** 02/24/2015