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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