Organization
DENTAL SPECIALISTS CENTER OF CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN B ROSENTHAL DMD (PRESIDENT)
(203) 853-0880
Entity
Organization
Contact information
Practice address
120 EAST AVE, NORWALK, CT 06851-5703
(203) 853-0880
Mailing address
120 EAST AVE, NORWALK, CT 06851-5703
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
005945
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005945
STATE LICENSE
CT
Enumeration date
07/21/2017
Last updated
07/21/2017
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