Organization
ROBERT J. GANGE, DDS,MS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOSEPH GANGE DDS MS (PRESIDENT)
(860) 875-1886
Entity
Organization
Contact information
Practice address
351 MERLINE RD, VERNON, CT 06066-4040
(860) 875-1886
(860) 870-9091
Mailing address
351 MERLINE RD, VERNON, CT 06066-4040
(860) 875-1886
(860) 870-9091
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
CT4562
CT
Other
Enumeration date
07/13/2009
Last updated
02/14/2014
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