Organization
GARY FISHBEIN DMD LLC
Active
Other names
East of the River Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY TODD FISHBEIN DMD (ORAL AND MAXILLOFACIAL SURGEON)
(860) 872-8331
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE STE 307, VERNON, CT 06066-4707
(860) 872-8331
Mailing address
281 HARTFORD TPKE STE 307, VERNON, CT 06066-4707
(860) 872-8331
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11333
CT
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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