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1205063674
PHYLLIS A ODOOM
NEW LONDON, CT
NPI
1205063674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 010355)
Enumeration Date
2009-06-12
Last Update Date
2011-01-19
Business Address
Dr. PHYLLIS A ODOOM DDS
1 SHAWS CV
NEW LONDON, CT 06320-4902
Phone number: 860-447-8304
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Mailing Address
Dr. PHYLLIS A ODOOM DDS
635 MAIN ST ATTN: CREDENTIALING DPT
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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