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1164745956
DENTAL GROUP OF WATERBURY, LLC
WATERBURY, CT
NPI
1164745956
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Entity Type
Organization
Authorized Contact
ROXANNE TAMAYO-BORDIES
Owner
203203-573-9989
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CT 008810)
Enumeration Date
2010-03-08
Last Update Date
2010-12-09
Business Address
DENTAL GROUP OF WATERBURY, LLC
1127 W MAIN ST
WATERBURY, CT 06708-2764
Phone number: 203-573-9989
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Mailing Address
DENTAL GROUP OF WATERBURY, LLC
1127 W MAIN ST
WATERBURY, CT 06708-2764
Phone number: 203-573-9989
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