Individual
DR. MICHAEL THOMAS DEPASCALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
117 COW HILL RD, MYSTIC, CT 06355-1449
(860) 536-9661
Mailing address
1231 VAN BUREN DR, ANNAPOLIS, MD 21403-2132
(201) 906-5458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11807
CT
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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