Dr Carol Dermesropian PLLC
Dentist, General Practice in Waterbury, CT. Organization (NPI-2).
NPI number1982171401
StatusActive
Last updated in NPPESNov 2, 2018
Details
- NPI
- 1982171401
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Carol Dermesropian PLLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2018
- Last updated
- Nov 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
188 Chase AveWaterbury, CT 06704-2245
Phone 203-754-3818
Mailing address
Po Box 3189Syracuse, NY 13220-3189
Authorized official
Carol Dermesropian
Owner
2037543818
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