Individual
DR. FOTIOS MOUMOULIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
73 OLD COUNTY RD, WINDSOR LOCKS, CT 06096-1564
(860) 627-9784
Mailing address
6 CHATSWORTH CT, EAST GRANBY, CT 06026-9419
(860) 653-6187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009214
CT
Other
Enumeration date
04/13/2007
Last updated
11/20/2012
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