| Jetas Dental | |
|
1449 Old Waterbury Rd Unit 202, One Reservoir Park Southbury CT 06488-3926 | |
| (203) 262-8051 | |
| (203) 262-8956 |
| Full Name | Jetas Dental |
|---|---|
| Speciality | Dentist |
| Location | 1449 Old Waterbury Rd, Southbury, Connecticut |
| Authorized Official Name and Position | Jeta Zedek (DENTIS) |
| Authorized Official Contact | 2032628051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jetas Dental 1449 Old Waterbury Rd Unit 202, One Reservoir Park Southbury CT 06488-3926 Ph: (203) 262-8051 | Jetas Dental 1449 Old Waterbury Rd Unit 202, One Reservoir Park Southbury CT 06488-3926 Ph: (203) 262-8051 |
| NPI Number | 1396209219 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396209219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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