Organization
EAST HADDAM DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL PETER STOFKO DDS (SECRETARY)
(860) 873-1404
Entity
Organization
Contact information
Practice address
32 WILLIAM F PALMER ROAD, MOODUS, CT 06469
(860) 873-1404
(860) 873-1405
Mailing address
PO BOX 362, MOODUS, CT 06469-0362
(860) 873-1404
(860) 873-1405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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