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DR. ROBERT AXELROD D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1013028851

Individual Registrant:
DR. ROBERT  AXELROD D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
105 TECHNOLOGY DR  TRUMBULL, CT 06611-6348 US
Tel: 203-261-8749  Fax: 203-261-2219

Contact information for business:
105 TECHNOLOGY DR  TRUMBULL, CT 06611-6348 US
Tel: 203-261-8749  Fax: 203-261-2219

Registration Information:
NPI: 1013028851
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CT006018

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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