# ORAL & MAXILLOFACIAL SURGEONS OF MILFORD & DERBY, PC

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

## Provider details

- **NPI number:** 1912035213
- **Authorized official:** MRS. KRISTA D FABIAN (PRACTICE MANAGER)
- **Authorized official phone:** (203) 874-1664

## Contact information

- **Practice address:** 1 GOLDEN HILL ST, MILFORD, CT 06460-4630
- **Practice address phone:** (203) 874-1664
- **Practice address fax:** (203) 877-2027
- **Mailing address:** 1 GOLDEN HILL ST, MILFORD, CT 06460-4630
- **Mailing address phone:** (203) 874-1664
- **Mailing address fax:** (203) 877-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 04/18/2013