Organization
ROBERT AXELROD DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT AXELROD DDS (DENTIST/OWNER)
(203) 261-8749
Entity
Organization
Contact information
Practice address
105 TECHNOLOGY DR, SUITE 2B, TRUMBULL, CT 06611-6348
(203) 261-8749
Mailing address
105 TECHNOLOGY DR, SUITE 2B, TRUMBULL, CT 06611-6348
(203) 261-8749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006018
CT
1223G0001X
General Practice Dentistry
8972
CT
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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