Individual
DR. JACK D DEGRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47 OAK ST, 2ND FLOOR, STAMFORD, CT 06905-5316
(203) 325-4700
Mailing address
47 OAK ST, 2ND FLOOR, STAMFORD, CT 06905-5316
(203) 325-4700
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
008507
CT
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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