STANLEY DEITZ, DMD OMS

Dentist

Active Individual
NPI: 1417018805

Practice Address

188 CHASE AVE
Waterbury, CT 06704

Phone: (203) 754-3818

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 004084 (CT)

Frequently Asked Questions

NPI 1417018805 is the National Provider Identifier for STANLEY DEITZ, DMD OMS, a Dentist provider located in Waterbury, CT. This NPI was enumerated on December 12, 2006.
STANLEY DEITZ, DMD OMS practices at 188 CHASE AVE, Waterbury, CT 06704.

Quick Facts

NPI
1417018805
Type
Individual
Enumerated
Dec 12, 2006
Last Updated
Jul 8, 2007

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