Individual
DR. NATHAN ELDON MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
291 FARMINGTON AVE, FARMINGTON, CT 06032-1925
(860) 677-8666
(860) 677-5893
Mailing address
400 BLAKE ST APT 2408, NEW HAVEN, CT 06515-4412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10532
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2010
Last updated
06/22/2011
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