Organization
ELM FAMILY DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A NORMAN D.M.D (OWNER)
(203) 933-2223
Entity
Organization
Contact information
Practice address
233 ELM ST, WEST HAVEN, CT 06516-4635
(203) 933-2223
(203) 933-2220
Mailing address
233 ELM ST, WEST HAVEN, CT 06516-4635
(203) 933-2223
(203) 933-2220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008755
CT
1223P0221X
Pediatric Dentistry
009760
CT
Other
Enumeration date
04/07/2008
Last updated
05/09/2013
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