Michael Alexander Drysgula DMD

NPI 1407989486 - Dentist - 122300000X

NPI Details
NPI 1407989486
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
775 WASHINGTON ST
MIDDLETOWN CT, 06457-2903, US
Phone (860) 347-6100
Fax (860) 347-3095
Business Location
775 WASHINGTON ST
MIDDLETOWN CT, 06457-2903, US
Phone (860) 347-6100
Fax
Toxanomy
Taxonomy Code 122300000X
License State Connecticut
License Number 6788
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According to our database, Dr. Michael Alexander Drysgula DMD NPI is 1407989486, taxonomy code is 122300000X and license number is 6788, license state is located at Connecticut. Michael Alexander Drysgula DMD physically located at 775 Washington St, Middletown CT, 06457-2903. NPI Number Michael Alexander Drysgula DMD has the Individual type.

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1407989486 NPI number is provided on an as is basis without warranty of any kind. 1407989486 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Alexander Drysgula DMD are for informational purposes only.