Individual
DR. ELI ELIEL MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
160 EAST AVE, NORWALK, CT 06851-5715
(203) 866-9254
Mailing address
7 EVERGREEN LN, MONROE, CT 06468-2381
(203) 970-4357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
CT
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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