Robert Harold Pavalock DMD

NPI 1013196385 - Dentist - 1223G0001X

NPI Details
NPI 1013196385
Gender Male
Enumeration Date 11/02/2007
Last Updated 11/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
138 MAIN ST
TERRYVILLE CT, 06786, US
Phone (860) 582-3176
Fax (860) 584-1917
Business Location
138 MAIN ST
TERRYVILLE CT, 06786, US
Phone (860) 582-3176
Fax (860) 584-1917
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 4907
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According to our database, Dr. Robert Harold Pavalock DMD NPI is 1013196385, taxonomy code is 1223G0001X and license number is 4907, license state is located at Connecticut. Robert Harold Pavalock DMD physically located at 138 Main St, Terryville CT, 06786. NPI Number Robert Harold Pavalock DMD has the Individual type.

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1013196385 NPI number is provided on an as is basis without warranty of any kind. 1013196385 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Harold Pavalock DMD are for informational purposes only.