Organization
JOHN G. FATSE, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G FATSE D.M.D. (OWNER, DENTIST)
(203) 268-5051
Entity
Organization
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
122300000X
Dentist
Primary
007150
CT
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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