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Organization
AJLR DENTAL ASSOCIATES PC
Active
Organization
AJLR DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FRANK (OWNER)
(866) 273-8204
Entity
Organization
Contact information
Practice address
909 HARTFORD TPKE, D5, WATERFORD, CT 06385-4267
(860) 440-0700
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009716
CT
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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