Elias C Deros Dmd Llc

NPI 1033309067 - Dentist - 122300000X

NPI Details
NPI 1033309067
Enumeration Date 07/26/2007
Last Updated 07/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELIAS C ELIAS
Position DENTIST OWNER
Phone (203) 755-4403
Fax (203) 574-3388
Practice Location
80 PHOENIX AVE
SUITE 305
WATERBURY CT, 06702, US
Phone (203) 755-4403
Fax (203) 574-3388
Business Location
80 PHOENIX AVE
SUITE 305
WATERBURY CT, 06702, US
Phone (203) 755-4403
Fax (203) 574-3388
Toxanomy
Taxonomy Code 122300000X
License State Connecticut
License Number 8029
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According to our database, Elias C Deros Dmd Llc NPI is 1033309067, taxonomy code is 122300000X and license number is 8029, license state is located at Connecticut. Elias C Deros Dmd Llc physically located at 80 Phoenix Ave, Waterbury CT, 06702. NPI Number 1033115704 has the healthcare provider type.

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1033309067 NPI number is provided on an as is basis without warranty of any kind. 1033309067 is maintained by the National Plan & Provider Enumeration System. The contents of Elias C Deros Dmd Llc are for informational purposes only.