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Individual

DR. JASON TARTAGNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
369 MAIN ST, WEST HAVEN, CT 06516-4310
(203) 931-3052
Mailing address
369 MAIN ST., WEST HAVEN, CT 06516

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011629
CT
1223D0001X
Public Health Dentistry
011629
CT

Other

Enumeration date
07/08/2016
Last updated
07/08/2016
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