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1255670816
LON POLVERARI
WATERBURY, CT
NPI
1255670816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 007375)
Enumeration Date
2013-02-01
Last Update Date
2013-02-01
Business Address
DR. LON POLVERARI DMD
835 WOLCOTT ST
WATERBURY, CT 06705-1315
Phone number: 917-656-0798
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Mailing Address
DR. LON POLVERARI DMD
835 WOLCOTT ST
WATERBURY, CT 06705-1315
Phone number: 917-656-0798
Copy
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