Individual
DR. EZRA FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
464 WOLCOTT RD, WOLCOTT, CT 06716-2626
(203) 879-4649
(203) 879-5560
Mailing address
464 WOLCOTT RD, WOLCOTT, CT 06716-2626
(203) 879-4649
(203) 879-5560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
055695
NY
1223G0001X
General Practice Dentistry
Primary
011288
CT
Other
Enumeration date
08/18/2011
Last updated
01/17/2018
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