Individual
JEFIM JEZIERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 NOBLE AVE, MILFORD, CT 06460-4738
(203) 877-8020
Mailing address
88 NOBLE AVE, MILFORD, CT 06460-4738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8113
CT
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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