Organization
NEW HAVEN ORAL & MAXILLOFACIAL SURGERY ASSOC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RICHARD MONTANO D.D.S. (PRESIDENT)
(203) 469-8057
Entity
Organization
Contact information
Practice address
310 MAIN ST, EAST HAVEN, CT 06512-2919
(203) 468-7181
(203) 469-8058
Mailing address
310 MAIN ST, EAST HAVEN, CT 06512-2919
(203) 468-7181
(203) 469-8058
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4184
CT
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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