Individual
ERIKA MOGROVEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
56 FRANKLIN ST., WATERBURY, CT 06706-1221
(203) 709-6000
(203) 709-7750
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
(203) 709-7750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414024
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
05/28/2026
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