Organization
WEST SHORE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE CASARELLA (ADMINISTRATOR)
(860) 276-1586
Entity
Organization
Contact information
Practice address
141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT 06516-5914
(203) 932-3675
(203) 934-9701
Mailing address
141 CAPTAIN THOMAS BLVD, WEST HAVEN, CT 06516-5914
(203) 932-3675
(203) 934-9701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11462
CT
Other
Enumeration date
12/16/2016
Last updated
03/12/2019
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