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Organization
LOUIS V. THEODOS, DMD ORAL AND MAXILLOFACIAL SURGERY, LLC
Active
Organization
LOUIS V. THEODOS, DMD ORAL AND MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS VINCENT THEODOS DMD (OWNER/SOLE PROPRIETOR)
(203) 790-6288
Entity
Organization
Contact information
Practice address
52 FEDERAL RD, SUITE 2A, DANBURY, CT 06810-6162
(203) 790-6288
(203) 790-7617
Mailing address
52 FEDERAL RD, SUITE 2A, DANBURY, CT 06810-6162
(203) 790-6288
(203) 790-7617
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7113
CT
Other
Enumeration date
06/03/2014
Last updated
02/27/2015
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