Organization
DG DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORIS P GONZALEZ DDS (GENERAL DENTIST)
(203) 753-5041
Entity
Organization
Contact information
Practice address
767 WOLCOTT STREET, WATERBURY, CT 06705-1324
(203) 753-5041
(203) 753-5044
Mailing address
767 WOLCOTT ST, WATERBURY, CT 06705-1324
(203) 753-5041
(203) 753-5044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008397
CT
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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