Individual
DR. JOHN WILLIAM DEAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
123 YORK ST, SUITE H, NEW HAVEN, CT 06511-5614
(203) 773-9186
Mailing address
123 YORK ST, SUITE H, NEW HAVEN, CT 06511-5614
(203) 773-9186
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
007448
CT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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