Individual
DR. ROGER PAUL RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 N BRANFORD RD, BRANFORD, CT 06405-2811
(203) 481-4968
(203) 481-6784
Mailing address
100 NORTH BRANFORD ROAD, BRANFORD, CT 06405
(203) 481-4968
(203) 481-6784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004821
CT
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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