| NPI | 1588141972 |
|---|---|
| Former Legal Business Name | DAVID M FANTARELLA DMD PC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE QUESNEL Chief Operating Officer 203-239-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |