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Organization

ADVANCED ENDODONTICS OF CT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH S CHASEN DDS (PRESIDENT)
(203) 237-7449
Entity
Organization

Contact information

Practice address
546 S BROAD ST SUITE 3B, MERIDEN, CT 06650
(203) 237-7449
(203) 237-1234
Mailing address
546 S BROAD STREET, SUITE 3B, MERIDEN, CT 06450
(203) 237-7449
(203) 237-1234

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
4689
CT
1223E0200X
Endodontics
Primary
7884
CT
1223E0200X
Endodontics
9031
CT

Other

Enumeration date
04/26/2006
Last updated
08/22/2020
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