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Individual

DR. ROY W. SHAKUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
342 N MAIN ST, SUITE 300, WEST HARTFORD, CT 06117-2500
(860) 233-0552
(860) 233-9614
Mailing address
342 N MAIN ST, SUITE 300, WEST HARTFORD, CT 06117-2500
(860) 233-0552
(860) 233-9614

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7112
CT

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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