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1255468005
JACK D DEGRADO
STAMFORD, CT
NPI
1255468005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: CT 008507)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. JACK D DEGRADO DDS
47 OAK ST 2ND FLOOR
STAMFORD, CT 06905-5316
Phone number: 203-325-4700
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Mailing Address
Dr. JACK D DEGRADO DDS
47 OAK ST 2ND FLOOR
STAMFORD, CT 06905-5316
Phone number: 203-325-4700
Copy
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