Organization
COMPLETE DENTAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR BETROS DDS (OWNER)
(203) 720-1911
Entity
Organization
Contact information
Practice address
727 RUBBER AVE, NAUGATUCK, CT 06770-3642
(203) 720-1911
(203) 729-8968
Mailing address
727 RUBBER AVE, NAUGATUCK, CT 06770-3642
(203) 720-1911
(203) 729-8968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008194
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002081941
—
CT
Enumeration date
12/05/2008
Last updated
12/05/2008
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