Individual
DR. BENNETT ALLEN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
149 DURHAM ROAD, MADISON, CT 06443
(203) 245-7121
(203) 245-7277
Mailing address
149 DURHAM ROAD, MADISON, CT 06443
(203) 245-7121
(203) 245-7277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004355
CT
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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