Organization
FAMILY & ESTHETIC DENTISTRY OF HAMDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FRATARCANGELI DMD (DENTIST OWNER)
(203) 248-0072
Entity
Organization
Contact information
Practice address
2559 DIXWELL AVENUE, HAMDEN, CT 06514
(203) 248-0072
(203) 407-8063
Mailing address
2559 DIXWELL AVENUE, HAMDEN, CT 06514
(203) 248-0072
(203) 407-8063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6325
CT
1223G0001X
General Practice Dentistry
Primary
8417
CT
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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