WEST MAIN FAMILY DENTISTRY

WATERBURY, CT
NPI1396120390
Entity TypeOrganization
Authorized ContactMICHAEL BALFOUR
Dentist (Owner)
203-755-5641
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  10493)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: CT  11403)
1223G0001X Dentist, General Practice
(Licence: CT  05521)
Enumeration Date2015-07-21
Last Update Date2015-07-21
Business Address
WEST MAIN FAMILY DENTISTRY
1147 W MAIN ST
WATERBURY, CT 06708-2737
Phone number: 203-755-5641
Mailing Address
WEST MAIN FAMILY DENTISTRY
1147 W MAIN ST
WATERBURY, CT 06708-2737
Phone number: 203-755-5641