Organization
JETAS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JETA ZEDEK DDS (DENTIS)
(203) 262-8051
Entity
Organization
Contact information
Practice address
1449 OLD WATERBURY RD, UNIT 202, ONE RESERVOIR PARK, SOUTHBURY, CT 06488-3926
(203) 262-8051
(203) 262-8956
Mailing address
1449 OLD WATERBURY RD, UNIT 202, ONE RESERVOIR PARK, SOUTHBURY, CT 06488-3926
(203) 262-8051
(203) 262-8956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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