Windsor Locks Dental Care LLC
NPI #1881859809 in Windsor Locks, Connecticut
Provider Information
- NPI Number
- 1881859809
- Entity Type
- Organization
- Organization Name
- Windsor Locks Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 21, 2008
- Last Updated
- Jul 21, 2008
Practice Location
- Address
- 73 OLD COUNTY RD
- City
- Windsor Locks
- State
- Connecticut
- ZIP Code
- 06096-1564
- Phone
- (860) 627-9784
Authorized Official
- Name
- DR. FOTIOS MOUMOULIDIS, D.M.D.
- Title
- SOLE PROPRIETOR
- Phone
- (860) 627-9784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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