| Elias C Deros Dmd Llc | |
|
80 Phoenix Ave Suite 305 Waterbury CT 06702 | |
| (203) 755-4403 | |
| (203) 574-3388 |
| Full Name | Elias C Deros Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 80 Phoenix Ave, Waterbury, Connecticut |
| Authorized Official Name and Position | Elias C Deros (DENTIST OWNER) |
| Authorized Official Contact | 2037554403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elias C Deros Dmd Llc 80 Phoenix Ave Suite 305 Waterbury CT 06702 Ph: (203) 755-4403 | Elias C Deros Dmd Llc 80 Phoenix Ave Suite 305 Waterbury CT 06702 Ph: (203) 755-4403 |
| NPI Number | 1033309067 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033309067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8029 (Connecticut) | Primary |
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