Individual
MR. ALAN DAVID SCHUPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
850 NO MAIN STREET EXTENSION, SUITE 2B, WALLINGFORD, CT 06492
(203) 269-4249
(203) 294-4444
Mailing address
850 NO MAIN STREET EXTENSION, SUITE 2B, WALLINGFORD, CT 06492
(203) 269-4249
(203) 294-4444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6675
CT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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