Individual
DR. ROBERT HAROLD PAVALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
138 MAIN ST, TERRYVILLE, CT 06786
(860) 582-3176
(860) 584-1917
Mailing address
138 MAIN ST, TERRYVILLE, CT 06786
(860) 582-3176
(860) 584-1917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4907
CT
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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