Organization
DURHAM DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ZYZO (DENTIST)
(203) 233-7492
Entity
Organization
Contact information
Practice address
360 MAIN ST STE D, DURHAM, CT 06422-1644
(860) 349-1123
Mailing address
360 MAIN ST STE D, DURHAM, CT 06422-1644
(860) 349-1123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11861
CT
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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