Organization
JERALYN R. FANTARELLA, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALYN R FANTARELLA DMD (OWNER)
(203) 288-4855
Entity
Organization
Contact information
Practice address
299 WASHINGTON AVE, HAMDEN, CT 06518-3026
(203) 288-4855
(203) 288-9812
Mailing address
299 WASHINGTON AVE, HAMDEN, CT 06518-3026
(203) 288-4855
(203) 288-9812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7613
CT
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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