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1033309067
ELIAS C DEROS DMD LLC
WATERBURY, CT
NPI
1033309067
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Entity Type
Organization
Authorized Contact
ELIAS C DEROS
Dentist Owner
203-755-4403
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CT 8029)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
ELIAS C DEROS DMD LLC
80 PHOENIX AVE SUITE 305
WATERBURY, CT 06702
Phone number: 203-755-4403
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Mailing Address
ELIAS C DEROS DMD LLC
80 PHOENIX AVE SUITE 305
WATERBURY, CT 06702
Phone number: 203-755-4403
Copy
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