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1104187673
DR.DENTAL OF NEW HAVEN, PC
NEW HAVEN, CT
NPI
1104187673
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Entity Type
Organization
Authorized Contact
KAYNE MICHAEL BOSMA
Managing Director
203-671-8949
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2012-05-31
Last Update Date
2012-05-31
Business Address
DR.DENTAL OF NEW HAVEN, PC
122 AMITY ROAD
NEW HAVEN, CT 06515
Phone number: 203-671-8949
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Mailing Address
DR.DENTAL OF NEW HAVEN, PC
122 AMITY ROAD
NEW HAVEN, CT 06515
Phone number: 203-671-8949
Copy
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