Individual
DR. RICHARD E CAPOZZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1192 MAIN ST, WATERTOWN, CT 06795-3131
(860) 274-9211
(860) 274-3183
Mailing address
1192 MAIN ST, WATERTOWN, CT 06795-3131
(860) 274-9211
(860) 274-3183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6939
CT
1223G0001X
General Practice Dentistry
Primary
6939
CT
Other
Enumeration date
01/06/2012
Last updated
12/10/2013
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