Individual
DR. ROBERT J MAILLOUX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
397 NEW BRITAIN AVE, HARTFORD, CT 06106-3833
(860) 247-1021
(860) 724-2379
Mailing address
112 COUTURE DR, BRISTOL, CT 06010-3317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5868
CT
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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