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DR. MARTHA BROWN TRUNCALE D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1346313566

Individual Registrant:
DR. MARTHA  BROWN TRUNCALE D.M.D.
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

Contact information for business:
116 OCEAN VIEW AVE  MYSTIC, CT 06355-2216 US
Tel: 860-536-1765  Fax: 860-536-9542

Registration Information:
NPI: 1346313566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CT009236
N1223G0001XDental Providers
Dentist
RIDEN02911

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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