Organization
NORMA GOMEZ DDS AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINA VELEZ (OFFICE MANAGER)
(203) 481-0338
Entity
Organization
Contact information
Practice address
144 N MAIN ST STE 8, BRANFORD, CT 06405-3044
(203) 481-0338
(203) 481-0339
Mailing address
144 N MAIN ST STE 8, BRANFORD, CT 06405-3044
(203) 481-0338
(203) 481-0339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9256
CT
1223P0221X
Pediatric Dentistry
9256
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010722
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9256
CT
261QD0000X
Dental Clinic/Center
261QD0000X
CT
Other
Enumeration date
05/18/2011
Last updated
09/08/2015
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