Individual
DR. ROGER BADWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
107 NEWTOWN RD, DANBURY, CT 06810-4146
(203) 797-0012
(203) 797-0123
Mailing address
107 NEWTOWN RD, DANBURY, CT 06810-4146
(203) 797-0012
(203) 797-0123
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
008387
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
8387
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001364190
—
CT
Enumeration date
08/03/2006
Last updated
07/20/2019
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