Dental Group of Waterbury, LLC

NPI #1164745956 in Waterbury, Connecticut

Provider Information

NPI Number: 1164745956
Entity Type: Organization
Organization Name: Dental Group of Waterbury, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 8, 2010
Last Updated: Dec 9, 2010

Practice Location

Address: 1127 W MAIN ST
City: Waterbury
State: Connecticut
ZIP Code: 06708-2764
Phone: (203) 573-9989

Authorized Official

Name: ROXANNE TAMAYO-BORDIES, DDS
Title: OWNER
Phone: 2032035739989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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