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Robert Pavalock, DMD
NPI 1013196385 · on the registry since 2007
Practice
- Address
- 138 Main St
Terryville, CT 06786 - Phone
- (860) 582-3176
- Fax
- (860) 584-1917
- Organisation at this address
- Fun House Pediatric Therapy Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut