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Organization
NEW HAVEN IMPLANT AND ORAL SURGERY, LLC
Active
Organization
NEW HAVEN IMPLANT AND ORAL SURGERY, LLC
Active
Other names
Connecticut Implant and Oral Surgery Specialists, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN GREENBERG D.D.S. (MEMBER/PRESIDENT)
(914) 355-0840
Entity
Organization
Contact information
Practice address
1423 CHAPEL ST, UNIT 3C, NEW HAVEN, CT 06511-4411
(203) 787-6581
Mailing address
1423 CHAPEL ST, UNIT 3C, NEW HAVEN, CT 06511-4411
(203) 787-6581
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/22/2014
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