Individual
DR. FREDRIC RONALD GOOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1268 MAIN ST, NEWINGTON, CT 06111-3038
(860) 666-5674
Mailing address
1268 MAIN ST, NEWINGTON, CT 06111-3038
(860) 666-5674
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4281
CT
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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