Organization
MIDDLESEX DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D MICELI DDS (PRESIDENT)
(203) 655-9922
Entity
Organization
Contact information
Practice address
106 NOROTON AVE, MIDDLESEX DENTAL, DARIEN, CT 06820-5237
(203) 655-9922
(203) 655-9597
Mailing address
106 NOROTON AVE, MIDDLESEX DENTAL, DARIEN, CT 06820-5237
(203) 655-9922
(203) 655-9597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4093
CT
122300000X
Dentist
Primary
4887
CT
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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