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DR. MADLENE ESKAROSE

>> Dentist >> Dental Providers

Registrant NPI Number: 1225146707

Individual Registrant:
DR. MADLENE  ESKAROSE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12 ROOSEVELT AVE  MYSTIC, CT 06355 US
Tel: 860-572-0593  Fax: 860-572-0595

Contact information for business:
12 ROOSEVELT AVE  MYSTIC, CT 06355 US
Tel: 860-572-0593  Fax: 860-572-0595

Registration Information:
NPI: 1225146707
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X122300000XDental Providers
Dentist
CT009018
X1223G0001XDental Providers
Dentist
CT009018

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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