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1427142918
JASON MALCOLM SCULLY
FAIRFIELD, CT
NPI
1427142918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 8632)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. JASON MALCOLM SCULLY D.D.S.
69 SHERMAN STREET
FAIRFIELD, CT 06824
Phone number: 203-255-1545
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Mailing Address
Dr. JASON MALCOLM SCULLY D.D.S.
407 MEADOWBROOK ROAD
FAIRFIELD, CT 06824
Phone number: 203-255-1545
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