Individual
DR. GREGORY A TOBACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.S.
Contact information
Practice address
190 HEMPSTEAD ST, NEW LONDON, CT 06320-6248
(860) 443-5298
(860) 443-6704
Mailing address
190 HEMPSTEAD ST, NEW LONDON, CT 06320-6248
(860) 443-5298
(860) 443-6704
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2628
RI
1223P0300X
Periodontics
Primary
8455
CT
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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