Organization
CHILDREN'S DENTISTRY OF WESTPORT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILVESTRO IOMMAZZO JR. DDS (OWNER)
(914) 548-3319
Entity
Organization
Contact information
Practice address
127 KINGS HWY N, WESTPORT, CT 06880-2422
(203) 227-2377
Mailing address
10 ALLEN PL, BRONXVILLE, NY 10708-4501
(914) 548-3319
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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