Organization
ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL CT PC
Active
Parent organization
ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL CT PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL CT PC
Authorized official
DR. STEPHEN SLATER ROZEN DDS (DDS PRESIDENT)
(203) 235-6339
Entity
Organization
Contact information
Practice address
546 SOUTH BROAD ST, SUITE 4F, MERIDEN, CT 06450
(203) 235-6339
(203) 235-6339
Mailing address
546 SOUTH BROAD ST, SUITE 4F, MERIDEN, CT 06450
(203) 235-6339
(203) 235-6339
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3716
CT
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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