Organization
CHARLES M SPATZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M SPATZ DMD (DENTIST)
(203) 865-1480
Entity
Organization
Contact information
Practice address
1574 CHAPEL ST, NEW HAVEN, CT 06511-4205
(203) 865-1480
(203) 865-0290
Mailing address
1574 CHAPEL ST, NEW HAVEN, CT 06511-4205
(203) 865-1480
(203) 865-0290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4296
CT
122300000X
Dentist
8938
CT
1223G0001X
General Practice Dentistry
Primary
4296
CT
Other
Enumeration date
10/07/2011
Last updated
12/11/2013
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