| NPI | 1356492185 |
|---|---|
| Former Legal Business Name | ALAN D SCHUPACK DDS |
| Entity Type | Organization |
| Authorized Contact | ALAN DAVID SCHUPACK Manager 203-294-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 6675) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |