CHARLES M SPATZ

NEW HAVEN, CT
NPI1801170923
Entity TypeOrganization
Authorized ContactCHARLES M SPATZ
Dentist
203-865-1480
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  4296)
Additional Taxonomies122300000X Dentist
(Licence: CT  4296)
122300000X Dentist
(Licence: CT  8938)
Enumeration Date2011-10-07
Last Update Date2013-12-11
Business Address
CHARLES M SPATZ
1574 CHAPEL ST
NEW HAVEN, CT 06511-4205
Phone number: 203-865-1480
Mailing Address
CHARLES M SPATZ
1574 CHAPEL ST
NEW HAVEN, CT 06511-4205
Phone number: 203-865-1480