Organization
CENTER FOR ESTHETIC AND RESTORATIVE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HEISE D.D.S. (CO-OWNER)
(203) 458-1992
Entity
Organization
Contact information
Practice address
47 CLAPBOARD HILL RD STE 3, GUILFORD, CT 06437-2282
(203) 458-1992
Mailing address
47 CLAPBOARD HILL RD STE 3, GUILFORD, CT 06437-2282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7630
CT
Other
Enumeration date
05/23/2007
Last updated
12/02/2008
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