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Organization
UCONN HEALTH CENTER
Active
Organization
UCONN HEALTH CENTER
Active
Other names
School of Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN G. LURIE DDS (PROFESSOR)
(860) 679-2453
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110, FARMINGTON, CT 06030-0001
(860) 679-2453
(860) 679-2756
Mailing address
263 FARMINGTON AVE, ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110, FARMINGTON, CT 06030-0001
(860) 679-2453
(860) 679-2756
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
004751
CT
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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