| Theodore J. Zervas, Dmd, Llc | |
|
484 Main St Ste 32 Middletown CT 06457-2866 | |
| (860) 852-0089 | |
| Not Available |
| Full Name | Theodore J. Zervas, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 484 Main St Ste 32, Middletown, Connecticut |
| Authorized Official Name and Position | Theodore J. Zervas (PRESIDENT) |
| Authorized Official Contact | 8608520089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore J. Zervas, Dmd, Llc 484 Main St Ste 32 Middletown CT 06457-2866 Ph: (860) 852-0089 | Theodore J. Zervas, Dmd, Llc 484 Main St Ste 32 Middletown CT 06457-2866 Ph: (860) 852-0089 |
| NPI Number | 1811171879 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811171879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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