Brass Mill Mall Dental L.l.p
NPI #1629263850 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1629263850
- Entity Type
- Organization
- Organization Name
- Brass Mill Mall Dental L.l.p
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Mar 18, 2015
Practice Location
- Address
- 495 UNION ST
- Address 2
- STUITE 1016
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06706-1292
- Phone
- (203) 574-2121
Authorized Official
- Name
- DR. ROSS KRASNOV
- Title
- OWNER
- Phone
- (860) 676-2828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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