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1043366354
JOSEPH STATKEVICH
WATERBURY, CT
NPI
1043366354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 007734)
Enumeration Date
2007-01-27
Last Update Date
2007-07-08
Business Address
Dr. JOSEPH STATKEVICH D.M.D.
80 PHOENIX AVE SUITE 202
WATERBURY, CT 06702-1418
Phone number: 203-574-3343
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Mailing Address
Dr. JOSEPH STATKEVICH D.M.D.
71 BRIDLEPATH DR
SOUTHINGTON, CT 06489-4043
Phone number: 860-628-6677
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