Organization
CHAPEL STREET DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAKMANOV (OWNER)
(203) 205-0333
Entity
Organization
Contact information
Practice address
806 CHAPEL ST, NEW HAVEN, CT 06510-3104
(203) 205-0333
Mailing address
806 CHAPEL ST, NEW HAVEN, CT 06510-3104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009721
CT
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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