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Organization
GREATER WATERBURY ORAL & MAXILLOFACIAL SURGEONS LLC
Active
Organization
GREATER WATERBURY ORAL & MAXILLOFACIAL SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J HILLGEN D.M.D. (OWNER)
(203) 573-1427
Entity
Organization
Contact information
Practice address
1389 W MAIN ST, SUITE 320, WATERBURY, CT 06708-3104
(203) 573-1427
(203) 574-2460
Mailing address
1389 W MAIN ST, SUITE 320, WATERBURY, CT 06708-3104
(203) 573-1427
(203) 574-2460
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
04/09/2015
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