Stanleyjwolfeddspc | |
385 Main St Suite4 West Haven CT 06516-4312 | |
(203) 933-3131 | |
(203) 934-4938 |
Full Name | Stanleyjwolfeddspc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 385 Main St, West Haven, Connecticut |
Authorized Official Name and Position | Stanley J Wolfe (PRESIDENT) |
Authorized Official Contact | 2039333131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stanleyjwolfeddspc 385 Main St Suite4 West Haven CT 06516-4312 Ph: (203) 933-3131 | Stanleyjwolfeddspc 385 Main St Suite4 West Haven CT 06516-4312 Ph: (203) 933-3131 |
NPI Number | 1881868842 |
---|---|
Provider Enumeration Date | 04/21/2008 |
Last Update Date | 04/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881868842 | NPI | - | NPPES |
002039493 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3949 (Connecticut) | Primary |
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