Organization
C S VINCENT DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEDLY VINCENT (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
360 CONNECTICUT AVE, NORWALK, CT 06854-1824
(203) 854-5458
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10275
CT
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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