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Organization
R.E. HOLDINGS, LLC
Active
Organization
R.E. HOLDINGS, LLC
Active
Other names
Reliable Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON POLVERARI DMD (OWNER)
(917) 656-0798
Entity
Organization
Contact information
Practice address
835 WOLCOTT ST, WATERBURY, CT 06705-1315
(203) 596-1960
(203) 596-1998
Mailing address
835 WOLCOTT ST, WATERBURY, CT 06705-1315
(203) 596-1960
(203) 596-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007375
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
010946
CT
Other
Enumeration date
02/05/2013
Last updated
12/23/2013
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