Individual
DR. THEODORE WALTER ZDEBLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
51 N MAIN ST, SUITE 2E, SOUTHINGTON, CT 06489
(860) 276-9565
(860) 276-9440
Mailing address
51 N MAIN ST, SUITE 2E, SOUTHINGTON, CT 06489
(860) 276-9565
(860) 276-9440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6470
CT
Other
Enumeration date
08/24/2006
Last updated
04/25/2013
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