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1508917337
ALAN DAVID SCHUPACK
WALLINGFORD, CT
NPI
1508917337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 6675)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Mr. ALAN DAVID SCHUPACK DDS
850 NO MAIN STREET EXTENSION SUITE 2B
WALLINGFORD, CT 06492
Phone number: 203-269-4249
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Mailing Address
Mr. ALAN DAVID SCHUPACK DDS
850 NO MAIN STREET EXTENSION SUITE 2B
WALLINGFORD, CT 06492
Phone number: 203-269-4249
Copy
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