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Organization
WINDSOR LOCKS DENTAL CARE LLC
Active
Organization
WINDSOR LOCKS DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOTIOS MOUMOULIDIS D.M.D. (SOLE PROPRIETOR)
(860) 627-9784
Entity
Organization
Contact information
Practice address
73 OLD COUNTY RD, WINDSOR LOCKS, CT 06096-1564
(860) 627-9784
(860) 654-1679
Mailing address
73 OLD COUNTY RD, WINDSOR LOCKS, CT 06096-1564
(860) 627-9784
(860) 654-1679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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