Organization
ROBERT S. CARNEVALE, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S CARNEVALE D.M.D. (PRESIDENT)
(860) 443-1114
Entity
Organization
Contact information
Practice address
2 SHAWS CV, SUITE 200, NEW LONDON, CT 06320-4975
(860) 443-1114
Mailing address
2 SHAWS CV, SUITE 200, NEW LONDON, CT 06320-4975
(860) 443-1114
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2252
RI
1223P0300X
Periodontics
Primary
7015
CT
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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