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Organization

SHORELINE DENTAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH DAVID TARTAGNI D.M.D. (OWNER/MEMBER)
(203) 931-3050
Entity
Organization

Contact information

Practice address
255 CHERRY ST STE C, MILFORD, CT 06460-3503
(203) 874-3050
(203) 874-3990
Mailing address
255 CHERRY ST STE C, MILFORD, CT 06460-3503
(203) 931-3050
(203) 931-3055

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CT006676
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457486706
INDIVIDUAL NPI #
CT
Enumeration date
11/23/2015
Last updated
03/23/2016
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