Organization
BRISTOL ORAL SURGERY & IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID AARON FENTON DDS, MD (OWNER / PHYSICIAN)
(860) 538-3495
Entity
Organization
Contact information
Practice address
33 HIGH ST, BRISTOL, CT 06010-5820
(860) 538-3495
(860) 645-0349
Mailing address
33 HIGH ST, BRISTOL, CT 06010-5820
(860) 538-3495
(860) 645-0349
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9812
CT
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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