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1487692174
FAIRFIELD ORAL SURGERY, LLC
FAIRFIELD, CT
NPI
1487692174
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Entity Type
Organization
Authorized Contact
TODD EVAN BLOOM
President
203-259-2227
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CT 9276)
Enumeration Date
2006-06-03
Last Update Date
2007-12-19
Business Address
FAIRFIELD ORAL SURGERY, LLC
1305 POST RD SUITE 303
FAIRFIELD, CT 06824-6016
Phone number: 203-259-2227
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Mailing Address
FAIRFIELD ORAL SURGERY, LLC
1305 POST RD SUITE 303
FAIRFIELD, CT 06824-6016
Phone number: 203-259-2227
Copy
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