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Individual

DR. ROLAND H LUPIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
100 AVERILL RD, SUITE 3, POMFRET CENTER, CT 06259-1800
(860) 928-5090
(860) 928-3950
Mailing address
100 AVERILL RD UNIT 3, POMFRET CENTER, CT 06259-1801
(860) 928-5090

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6894
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2068948
CT
Enumeration date
11/08/2005
Last updated
03/05/2013
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