Organization
CANDLEWOOD GENTLE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SCOTT SANGIACOMO D.M.D. (OWNER)
(203) 746-2459
Entity
Organization
Contact information
Practice address
100 STATE ROUTE 37 STE 104, NEW FAIRFIELD, CT 06812-4024
(203) 746-2459
Mailing address
100 STATE ROUTE 37 STE 104, NEW FAIRFIELD, CT 06812-4024
(203) 746-2459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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