Organization
PRINCEPS HEALTHCARE
Active
Other names
Westville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MAZZINI (MANAGER)
(203) 691-5389
Entity
Organization
Contact information
Practice address
881 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 691-5389
Mailing address
881 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 691-5389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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