Individual
DR. MARSHALL S GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
201 DIVISION ST, ANSONIA, CT 06401-1138
(203) 735-9600
(203) 954-0014
Mailing address
201 DIVISION ST, ANSONIA, CT 06401-1138
(203) 735-9600
(203) 954-0014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3900
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056992
—
CT
Enumeration date
05/07/2007
Last updated
07/09/2007
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