Individual
DR. REBECCA LAUREN SCHUPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
850 N MAIN STREET EXT BLDG 2, WALLINGFORD, CT 06492-2400
(203) 269-4249
Mailing address
850 N MAIN STREET EXT BLDG 2, WALLINGFORD, CT 06492-2400
(203) 269-4249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12570
CT
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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