Organization
MAIN STREET DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA GERMANIA BERAS-VILLEGA (OFFICE MANAGER)
(203) 730-2917
Entity
Organization
Contact information
Practice address
209 MAIN ST, DANBURY, CT 06810-2624
(203) 730-2917
(203) 730-2927
Mailing address
209 MAIN ST, DANBURY, CT 06810-2624
(203) 730-2917
(203) 730-2927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008435
CT
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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