William E Dedominicis DDS

NPI 1053456137 - Dentist - 1223G0001X

NPI Details
NPI 1053456137
Gender Male
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
240 FARMS VILLAGE RD
WEST SIMSBURY CT, 06092-0266, US
Phone (860) 651-3541
Fax (860) 651-9958
Business Location
PO BOX 266
240 FARMS VILLAGE RD
WEST SIMSBURY CT, 06092-0266, US
Phone (860) 651-3541
Fax (860) 651-9958
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 4308
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According to our database, Dr. William E Dedominicis DDS NPI is 1053456137, taxonomy code is 1223G0001X and license number is 4308, license state is located at Connecticut. William E Dedominicis DDS physically located at 240 Farms Village Rd, West Simsbury CT, 06092-0266. NPI Number William E Dedominicis DDS has the Individual type.

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1053456137 NPI number is provided on an as is basis without warranty of any kind. 1053456137 is maintained by the National Plan & Provider Enumeration System. The contents of William E Dedominicis DDS are for informational purposes only.