Organization
SHORE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK MASTROMIHALIS (OWNER/DENTIST)
(203) 625-7686
Entity
Organization
Contact information
Practice address
40 E PUTNAM AVE, COS COB, CT 06807-2600
(203) 625-7686
Mailing address
40 E PUTNAM AVE, COS COB, CT 06807-2600
(203) 625-7686
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
046687
CT
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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