Individual
DR. THEODORE FRANCIS MAROLDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16 HINSDALE AVE, WINSTED, CT 06098
(860) 379-7198
Mailing address
16 HINSDALE AVE, WINSTED, CT 06098
(860) 379-7198
(860) 379-4702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4272
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4272
DENTAL LICENSE #
CT
Enumeration date
07/09/2006
Last updated
10/08/2010
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