Individual
DR. CHARLES F GUELAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1122 HIGHLAND AVENUE, CHESHIRE, CT 06410-1654
(203) 272-9960
(208) 699-9403
Mailing address
1122 HIGHLAND AVENUE, CHESHIRE, CT 06410-1654
(203) 272-9960
(208) 699-9403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4174
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4174
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002041741
—
CT
Enumeration date
09/01/2006
Last updated
02/16/2011
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