Individual
DR. DAVID KEITH HERGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
166 S BROAD ST, MERIDEN, CT 06450-6524
(203) 235-3738
Mailing address
3 LAURELWOOD DR, WALLINGFORD, CT 06492-2515
(203) 235-3738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6680
CT
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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