Organization
MOGELOF DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MOGELOF DDS (OWNER)
(203) 378-5588
Entity
Organization
Contact information
Practice address
2499 MAIN ST, STRATFORD, CT 06615-5843
(203) 378-5588
Mailing address
2499 MAIN ST, STRATFORD, CT 06615-5843
(203) 378-5588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4914
CT
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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