Individual
DR. CARLOS S DEGOLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1681 MERIDEN RD, WOLCOTT, CT 06716-3322
(036) 337-1782
Mailing address
1 EVERGREEN TRL, FARMINGTON, CT 06032-2142
(860) 751-8211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010515
CT
Other
Enumeration date
06/29/2009
Last updated
08/21/2023
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