Organization
PROGRESSIVE DENTISTRY OF CT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRIC L ROSEN D.D.S. (PRESIDENT)
(203) 776-8556
Entity
Organization
Contact information
Practice address
315 WHITNEY AVE, SUITE 6, NEW HAVEN, CT 06511-3715
(203) 776-8556
(203) 776-1475
Mailing address
315 WHITNEY AVE, SUITE 6, NEW HAVEN, CT 06511-3715
(203) 776-8556
(203) 776-1475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4397
CT
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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