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DR. MARTHA BROWN TRUNCALE D.M.D.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1346313566
Individual Registrant:DR. MARTHA BROWN TRUNCALE D.M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
116 OCEAN VIEW AVE MYSTIC, CT 06355-2216 US
Tel: 860-536-1765 Fax: 860-536-9542
Tel: 860-536-1765 Fax: 860-536-9542
Contact information for business:
116 OCEAN VIEW AVE MYSTIC, CT 06355-2216 US
Tel: 860-536-1765 Fax: 860-536-9542
Tel: 860-536-1765 Fax: 860-536-9542
Registration Information:
NPI: 1346313566
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CT | 009236 |
| N | 1223G0001X | Dental Providers Dentist | RI | DEN02911 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
