Individual
DR. JOHN G FATSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
324 ELM ST, SUITE 202A, MONROE, CT 06468-2280
(203) 268-5051
(203) 268-7988
Mailing address
324 ELM ST, SUITE 202A, MONROE, CT 06468-2280
(203) 268-5051
(203) 268-7988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7150
CT
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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