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DR. TARA JILL BABUSHKIN DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1093273823
Individual Registrant:DR. TARA JILL BABUSHKIN DMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
888 WHITE PLAINS RD TRUMBULL, CT 06611-4552 US
Tel: 203-268-5881 Fax: 203-268-4054
Tel: 203-268-5881 Fax: 203-268-4054
Contact information for business:
888 WHITE PLAINS RD TRUMBULL, CT 06611-4552 US
Tel: 203-268-5881 Fax: 203-268-4054
Tel: 203-268-5881 Fax: 203-268-4054
Registration Information:
NPI: 1093273823
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CT | 12829 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
