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1811337975
JONATHAN FISK
NEW HAVEN, CT
NPI
1811337975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CT 10965)
Enumeration Date
2013-07-03
Last Update Date
2013-07-03
Business Address
Dr. JONATHAN FISK DMD
881 WHALLEY AVE
NEW HAVEN, CT 06515-1728
Phone number: 203-374-1911
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Mailing Address
Dr. JONATHAN FISK DMD
881 WHALLEY AVE
NEW HAVEN, CT 06515-1728
Phone number:
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