Individual
DR. SCOTT MAURICE DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
401 CENTER ST, MANCHESTER, CT 06040-3924
(860) 645-0111
Mailing address
401 CENTER ST, MANCHESTER, CT 06040-3924
(860) 645-0111
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
007896
CT
1223D0004X
Dental Anesthesiology
041953
NY
Other
Enumeration date
12/15/2010
Last updated
05/09/2014
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