Individual
DR. DAVID M FANTARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
127 WASHINGTON AVE, 2ND FLOOR EAST BUILDING, NORTH HAVEN, CT 06473-1715
(203) 239-1155
(203) 239-2255
Mailing address
127 WASHINGTON AVE, 2ND FLOOR EAST BUILDING, NORTH HAVEN, CT 06473-1715
(203) 239-1155
(203) 239-2255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8501
CT
Other
Enumeration date
01/30/2007
Last updated
03/30/2017
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