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DR. MICHAEL THOMAS DEPASCALE DMD, MS

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1043747116

Individual Registrant:
DR. MICHAEL THOMAS DEPASCALE DMD, MS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
117 COW HILL RD  MYSTIC, CT 06355-1449 US
Tel: 860-536-9661  Fax: --

Contact information for business:
1231 VAN BUREN DR  ANNAPOLIS, MD 21403-2132 US
Tel: 201-906-5458  Fax: --

Registration Information:
NPI: 1043747116
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CT11807

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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