Organization
WEST AVENUE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HRISHIKESH GOGATE DDS (PRESIDENT)
(203) 939-1460
Entity
Organization
Contact information
Practice address
520 WEST AVE, NORWALK, CT 06850-4034
(203) 939-1460
Mailing address
520 WEST AVE, NORWALK, CT 06850-4034
(203) 939-1460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10089
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851610869
—
CT
Enumeration date
06/01/2010
Last updated
01/08/2015
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