Organization
FANTARELLA DENTAL GROUP
Active
Other names
David M Fantarella DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE QUESNEL (CHIEF OPERATING OFFICER)
(203) 239-1155
Entity
Organization
Contact information
Practice address
127 WASHINGTON AVE, NORTH HAVEN, CT 06473-1715
(203) 239-1155
Mailing address
127 WASHINGTON AVE, NORTH HAVEN, CT 06473-1715
(203) 239-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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