Organization
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER BADWAL DMD, MD (PRESIDENT)
(203) 797-0012
Entity
Organization
Contact information
Practice address
107 NEWTOWN RD., SUITE 1A, DANBURY, CT 06810
(203) 797-0012
(203) 797-0123
Mailing address
107 NEWTOWN RD, SUITE 1A, DANBURY, CT 06810-4146
(203) 797-0012
(203) 797-0123
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001364190
—
CT
Enumeration date
05/24/2007
Last updated
07/17/2019
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