Individual
TABREZ ADIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
675 MAIN ST., MIDDLETOWN, CT 06457
(860) 347-6971
Mailing address
73 SUMMER HILL RD, MIDDLETOWN, CT 06457-5646
(860) 967-5273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12322
CT
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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