Individual
DR. JAMES D AFFENITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
391 MAIN ST, BRISTOL, CT 06010-5848
(860) 589-1055
(860) 585-0251
Mailing address
391 MAIN ST, BRISTOL, CT 06010-5848
(860) 589-1055
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7490
CT
Other
Enumeration date
10/04/2006
Last updated
01/14/2008
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