Individual
DR. PHILIP ANTHONY CAPORUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 GOLDEN HILL ST, MILFORD, CT 06460-4630
(203) 874-5400
Mailing address
1 GOLDEN HILL ST, MILFORD, CT 06460-4630
(203) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8019
CT
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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