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Organization
THEODORE J. ZERVAS, DMD, LLC
Active
Organization
THEODORE J. ZERVAS, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE J. ZERVAS DMD (PRESIDENT)
(860) 852-0089
Entity
Organization
Contact information
Practice address
484 MAIN ST STE 32, MIDDLETOWN, CT 06457-2866
(860) 852-0089
Mailing address
484 MAIN ST STE 32, MIDDLETOWN, CT 06457-2866
(860) 852-0089
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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