Organization
ORANGE CENTER DENTISTRY PC
Active
Other names
Grassy Hill Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER C. COGGUILLO DDS (PRESIDENT)
(475) 777-5108
Entity
Organization
Contact information
Practice address
676 NEW HAVEN AVE, SUITE A-3, DERBY, CT 06418-2500
(475) 777-5108
(475) 777-5118
Mailing address
676 NEW HAVEN AVE, SUITE A-3, DERBY, CT 06418-2500
(475) 777-5108
(475) 777-5118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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