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Organization
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER BADWAL DMD, MD (PRESIDENT)
(203) 797-0012
Entity
Organization
Contact information
Practice address
107 NEWTOWN RD., SUITE 1A, DANBURY, CT 06810
(203) 797-0012
(203) 797-0123
Mailing address
107 NEWTOWN RD, SUITE 1A, DANBURY, CT 06810-4146
(203) 797-0012
(203) 797-0123
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001364190
—
CT
Enumeration date
05/24/2007
Last updated
07/17/2019
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