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Organization

BRASS MILL MALL DENTAL L.L.P

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSS KRASNOV (OWNER)
(860) 676-2828
Entity
Organization

Contact information

Practice address
495 UNION ST, STUITE 1016, WATERBURY, CT 06706-1292
(203) 574-2121
Mailing address
495 UNION ST, STUITE 1016, WATERBURY, CT 06706-1292
(203) 574-2121

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008698
CT

Other

Enumeration date
09/11/2007
Last updated
03/18/2015
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