Organization
WASHINGTON DEPOT FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS C DEROS DMD (DENTIST OWNER)
(860) 868-2332
Entity
Organization
Contact information
Practice address
70 BEE BROOK RD, WASHINGTON DEPOT, CT 06794
(860) 868-2332
(860) 868-2332
Mailing address
70 BEE BROOK RD, PO BOX 617, WASHINGTON DEPOT, CT 06794
(860) 868-2332
(860) 868-2332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8029
CT
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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