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1982616074
LOUIS VINCENT THEODOS
DANBURY, CT
NPI
1982616074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: CT 007113)
Enumeration Date
2006-08-13
Last Update Date
2014-06-03
Business Address
-- LOUIS VINCENT THEODOS DMD
52 FEDERAL RD STE 2A
DANBURY, CT 06810-6162
Phone number: 203-790-6288
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Mailing Address
-- LOUIS VINCENT THEODOS DMD
52 FEDERAL RD STE 2A
DANBURY, CT 06810-6162
Phone number: 203-790-6288
Copy
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