R.e. Holdings, LLC
NPI #1235478686 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1235478686
- Entity Type
- Organization
- Organization Name
- R.e. Holdings, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 5, 2013
- Last Updated
- Dec 23, 2013
Practice Location
- Address
- 835 WOLCOTT ST
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06705-1315
- Phone
- (203) 596-1960
Authorized Official
- Name
- DR. LON POLVERARI, DMD
- Title
- OWNER
- Phone
- (917) 656-0798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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