Organization
CONNECTICUT ORAL & MAXILLOFACIAL SURGERY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S. BERKLEY D.D.S. (OWNER)
(203) 937-7181
Entity
Organization
Contact information
Practice address
323 MAIN ST, WEST HAVEN, CT 06516-4424
(203) 937-7181
(203) 937-1940
Mailing address
323 MAIN ST, WEST HAVEN, CT 06516-4424
(203) 937-7181
(203) 937-1940
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7026
CT
Other
Enumeration date
06/14/2007
Last updated
10/03/2007
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