Elias C Deros Dmd LLC

NPI #1033309067 in Waterbury, Connecticut

Provider Information

NPI Number: 1033309067
Entity Type: Organization
Organization Name: Elias C Deros Dmd LLC
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 80 PHOENIX AVE
Address 2: SUITE 305
City: Waterbury
State: Connecticut
ZIP Code: 06702
Phone: (203) 755-4403

Authorized Official

Name: ELIAS C DEROS, DMD
Title: DENTIST OWNER
Phone: (203) 755-4403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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