Organization
IRVING M EDELSON DDS AND DAVID R EDELSON DMD PC
Active
Other names
David R Edelson DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROSS EDELSON DMD (PRESIDENT)
(860) 747-1004
Entity
Organization
Contact information
Practice address
92 EAST ST, PLAINVILLE, CT 06062-2302
(860) 747-1004
(860) 793-2219
Mailing address
92 EAST ST, PLAINVILLE, CT 06062-2302
(860) 747-1004
(860) 793-2219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
006399
CT
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/18/2012
Last updated
06/04/2012
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