Organization
MARSHALL S. GREENBERG, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL S. GREENBERG D.M.D. (OWNER/PRESIDENT)
(203) 735-9600
Entity
Organization
Contact information
Practice address
201 DIVISION ST, ANSONIA, CT 06401-1138
(203) 735-9600
(203) 954-0014
Mailing address
201 DIVISION ST, ANSONIA, CT 06401-1138
(203) 735-9600
(203) 954-0014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3900
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039006
—
CT
Enumeration date
03/27/2008
Last updated
03/27/2008
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