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1477755924
JERALYN R FANTARELLA
HAMDEN, CT
NPI
1477755924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 7613)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
Dr. JERALYN R FANTARELLA D.M.D.
299 WASHINGTON AVE
HAMDEN, CT 06518-3026
Phone number: 203-288-4855
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Mailing Address
Dr. JERALYN R FANTARELLA D.M.D.
299 WASHINGTON AVE
HAMDEN, CT 06518-3026
Phone number: 203-288-4855
Copy
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