Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c.

NPI 1235257148 - Dentist - 1223S0112X

NPI Details
NPI 1235257148
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEONARD WARREN LEONARD
Position PRESIDENT
Phone (203) 865-0807
Fax (203) 562-4922
Practice Location
136 SHERMAN AVE
SUITE #402
NEW HAVEN CT, 06511-5238, US
Phone (203) 865-0807
Fax (203) 562-4922
Business Location
136 SHERMAN AVE
SUITE #402
NEW HAVEN CT, 06511-5238, US
Phone (203) 865-0807
Fax (203) 562-4922
Toxanomy
Taxonomy Code 1223S0112X
License State Connecticut
License Number 005198
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According to our database, Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c. NPI is 1235257148, taxonomy code is 1223S0112X and license number is 005198, license state is located at Connecticut. Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c. physically located at 136 Sherman Ave, New Haven CT, 06511-5238. NPI Number 1033115704 has the healthcare provider type.

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1235257148 NPI number is provided on an as is basis without warranty of any kind. 1235257148 is maintained by the National Plan & Provider Enumeration System. The contents of Oral & Maxillofacial Surgery Associates Of Greater New Haven, P.c. are for informational purposes only.