Individual
DR. MICHAEL BASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
80 PHOENIX AVE, SUITE #102, WATERBURY, CT 06702-1418
(203) 574-5524
Mailing address
80 PHOENIX AVE, SUITE #102, WATERBURY, CT 06702-1418
(203) 574-5524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5569
CT
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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