| Dental Group Of Waterbury, Llc | |
|
1127 W Main St Waterbury CT 06708-2764 | |
| (203) 573-9989 | |
| (203) 759-0239 |
| Full Name | Dental Group Of Waterbury, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1127 W Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Roxanne Tamayo-bordies (OWNER) |
| Authorized Official Contact | 2032035739989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group Of Waterbury, Llc 1127 W Main St Waterbury CT 06708-2764 Ph: (203) 573-9989 | Dental Group Of Waterbury, Llc 1127 W Main St Waterbury CT 06708-2764 Ph: (203) 573-9989 |
| NPI Number | 1164745956 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164745956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 008810 (Connecticut) | Primary |
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