Organization
D'AGOSTINO FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT D'AGOSTINO D.M.D. (OWNER)
(203) 239-2050
Entity
Organization
Contact information
Practice address
21 WASHINGTON AVE, SUITE D, NORTH HAVEN, CT 06473-2310
(203) 239-2050
Mailing address
21 WASHINGTON AVE, SUITE D, NORTH HAVEN, CT 06473-2310
(203) 239-2050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006504
CT
Other
Enumeration date
02/14/2007
Last updated
03/26/2013
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