Individual
DR. EDWARD ROBERT BOOTHROYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
157 SAYBROOK RD, MIDDLETOWN, CT 06457-4704
(860) 347-1546
Mailing address
12 COUNTRY WALK, HIGGANUM, CT 06441-4400
(860) 345-7422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
006479
CT
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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