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Individual

DR. MICHAEL HUGH BALFOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1147 W MAIN ST, WATERBURY, CT 06708-2737
(203) 755-7541
(203) 755-1675
Mailing address
1147 W MAIN ST, WATERBURY, CT 06708-2737
(203) 755-7541
(203) 755-1675

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010493
CT
1223G0001X
General Practice Dentistry
03892
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008033744
CT
Enumeration date
06/15/2011
Last updated
09/19/2016
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