Stanley Deitz, DMD OMS

NPI #1417018805 in Waterbury, Connecticut

Provider Information

NPI Number: 1417018805
Entity Type: Individual
Name: Stanley Deitz, DMD OMS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD OMS
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 188 CHASE AVE
City: Waterbury
State: Connecticut
ZIP Code: 06704-2245
Phone: (203) 754-3818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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