Individual
DOMINICK PETER AGOSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15 OLD RIDGEFIELD RD, WILTON, CT 06897-3013
(203) 762-9907
(203) 762-7002
Mailing address
15 OLD RIDGEFIELD RD, WILTON, CT 06897-3013
(203) 762-9907
(203) 762-7002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4584
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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