Organization
WINDSOR LOCKS DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOTIOS MOUMOULIDIS D.M.D. (SOLE PROPRIETOR)
(860) 627-9784
Entity
Organization
Contact information
Practice address
73 OLD COUNTY RD, WINDSOR LOCKS, CT 06096-1564
(860) 627-9784
(860) 654-1679
Mailing address
73 OLD COUNTY RD, WINDSOR LOCKS, CT 06096-1564
(860) 627-9784
(860) 654-1679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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