| Main Street Dental, Pc | |
|
209 Main St Danbury CT 06810-2624 | |
| (203) 730-2917 | |
| (203) 730-2927 |
| Full Name | Main Street Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 Main St, Danbury, Connecticut |
| Authorized Official Name and Position | Maria Germania Beras-villega (OFFICE MANAGER) |
| Authorized Official Contact | 2037302917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental, Pc 209 Main St Danbury CT 06810-2624 Ph: (203) 730-2917 | Main Street Dental, Pc 209 Main St Danbury CT 06810-2624 Ph: (203) 730-2917 |
| NPI Number | 1780701961 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780701961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008435 (Connecticut) | Primary |
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