Organization
R.E. HOLDINGS, LLC
Active
Other names
Reliable Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON POLVERARI DMD (OWNER)
(917) 656-0798
Entity
Organization
Contact information
Practice address
835 WOLCOTT ST, WATERBURY, CT 06705-1315
(203) 596-1960
(203) 596-1998
Mailing address
835 WOLCOTT ST, WATERBURY, CT 06705-1315
(203) 596-1960
(203) 596-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007375
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
010946
CT
Other
Enumeration date
02/05/2013
Last updated
12/23/2013
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