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1851446157
STEVEN MARK BALLOCH
GLASTONBURY, CT
NPI
1851446157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 5772)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- STEVEN MARK BALLOCH dds
300 HEBRON AVE SUITE 112
GLASTONBURY, CT 06033-2176
Phone number: 860-659-8660
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Mailing Address
-- STEVEN MARK BALLOCH dds
300 HEBRON AVE SUITE 112
GLASTONBURY, CT 06033-2176
Phone number: 860-659-3044
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