Organization
CLABAUGH & TRENTALANCIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG C CLABAUGH D.M.D. (DENTIST/PRESIDENT/OWNER)
(203) 327-2540
Entity
Organization
Contact information
Practice address
22 5TH ST, STAMFORD, CT 06905-5030
(203) 327-2540
Mailing address
22 5TH ST, STAMFORD, CT 06905-5030
(203) 327-2540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
006343
CT
122300000X
Dentist
007854
CT
124Q00000X
Dental Hygienist
003309
CT
124Q00000X
Dental Hygienist
006381
CT
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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