Organization
A DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E. MADERA DDS (DENTIST)
(203) 866-9254
Entity
Organization
Contact information
Practice address
160 EAST AVE, NORWALK, CT 06851
(203) 866-9254
(203) 866-6186
Mailing address
160 EAST AVE, NORWALK, CT 06851
(203) 866-9254
(203) 866-6186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007930
CT
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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