Robert J. Mailloux Dmd | |
397 New Britain Ave Hartford CT 06106-3833 | |
(860) 247-1021 | |
(860) 724-2379 |
Full Name | Robert J. Mailloux Dmd |
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Speciality | Dentist - General Practice |
Location | 397 New Britain Ave, Hartford, Connecticut |
Authorized Official Name and Position | Robert J. Mailloux (OWNER) |
Authorized Official Contact | 8602471021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert J. Mailloux Dmd 397 New Britain Ave Hartford CT 06106-3833 Ph: (860) 247-1021 | Robert J. Mailloux Dmd 397 New Britain Ave Hartford CT 06106-3833 Ph: (860) 247-1021 |
NPI Number | 1902053531 |
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Provider Enumeration Date | 08/26/2008 |
Last Update Date | 07/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902053531 | NPI | - | NPPES |
002058683 | Medicaid | CT | |
008001793 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5868 (Connecticut) | Primary |
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