Individual
DR. MICHAEL ROBERT EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
84 GLASTONBURY BLVD, GLASTONBURY, CT 06033-4468
(860) 657-5522
Mailing address
312 COX RD, PORTLAND, CT 06480-1326
(860) 342-3948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4877
CT
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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