JASON MALCOLM SCULLY

FAIRFIELD, CT
NPI1427142918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  8632)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Dr. JASON MALCOLM SCULLY D.D.S.
69 SHERMAN STREET
FAIRFIELD, CT 06824
Phone number: 203-255-1545
Mailing Address
Dr. JASON MALCOLM SCULLY D.D.S.
407 MEADOWBROOK ROAD
FAIRFIELD, CT 06824
Phone number: 203-255-1545
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