Individual
LOUIS VINCENT THEODOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
52 FEDERAL RD STE 2A, DANBURY, CT 06810-6162
(203) 790-6288
Mailing address
52 FEDERAL RD STE 2A, DANBURY, CT 06810-6162
(203) 790-6288
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
007113
CT
Other
Enumeration date
08/13/2006
Last updated
06/03/2014
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