Organization
FAIRFIELD FAMILY DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SCHWAB (OWNER)
(203) 247-4091
Entity
Organization
Contact information
Practice address
320 KINGS HWY E, FAIRFIELD, CT 06825-4813
(203) 337-6262
Mailing address
320 KINGS HWY E, FAIRFIELD, CT 06825-4813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9408
CT
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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