Individual
ROMAN SHAMUELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1127 WEST MAIN STREET, WATERBURY, CT 06708
(203) 573-9989
(203) 759-0239
Mailing address
1127 WEST MAIN STREET, WATERBURY, CT 06708
(203) 573-9989
(203) 759-0239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010277
CT
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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