Individual
THOMAS LOUIS DERIENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
15 CORNERSTONE CT UNIT 1, PLANTSVILLE, CT 06479-1550
(860) 621-2700
Mailing address
15 CORNERSTONE CT UNIT 1, PLANTSVILLE, CT 06479-1550
(860) 621-2700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7271
CT
1223G0001X
General Practice Dentistry
Primary
7271
CT
Other
Enumeration date
05/21/2007
Last updated
04/26/2013
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