DENTAL GROUP OF WATERBURY LLC

Restricted

DENTAL GROUP OF WATERBURY LLC is subject to Restricted. See the individual lists below.

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Addresses

Address 1 : 1127 W MAIN STREET

Address 2 : 1127 West Main Street, Waterbury, CT, 06708

ID Details

ID NUMBER : 1164745956

ID TYPE : NPI

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DENTAL GROUP OF WATERBURY LLC Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
General List of Individuals/Entities Excluded from Federal Health and Medicare Programs	U.S. Department of Health and Human Services	Jun 3, 2015	active
Connecticut Department of Social Services Administrative Actions List	U.S. Other Government Agencies	Jun 3, 2015	active