Individual
DR. RICHARD ALLEN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
52 CHURCH ST, GUILFORD, CT 06437-2605
(203) 453-3519
(203) 458-1107
Mailing address
52 CHURCH ST, GUILFORD, CT 06437-2605
(203) 453-3519
(203) 458-1107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4126
CT
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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