Individual
MYLES O EADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
850 N MAIN STREET EXT, WALLINGFORD, CT 06492-2400
(203) 949-1701
(203) 284-9547
Mailing address
850 N MAIN STREET EXT, WALLINGFORD, CT 06492-2400
(203) 949-1701
(203) 284-9547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7294
CT
1223P0300X
Periodontics
7294
CT
Other
Enumeration date
02/14/2007
Last updated
11/14/2008
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