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Organization

COSMETIC AND RECONSTRUCTIVE DENTISTRY ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN HENRY GUSS D.D.S. (PRESIDENT)
(203) 255-6878
Entity
Organization

Contact information

Practice address
1275 POST RD, SUITE 201, FAIRFIELD, CT 06824-6015
(203) 255-6878
(203) 319-1124
Mailing address
1275 POST RD, SUIT 201, FAIRFIELD, CT 06824-6015
(203) 255-6878
(203) 319-1124

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4389
CT
1223G0001X
General Practice Dentistry
5010
CT
1223G0001X
General Practice Dentistry
8447
CT

Other

Enumeration date
02/27/2007
Last updated
04/17/2012
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