Organization
GERARD E BOGUCKI DMS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD EDWARD-ZACKARY BOGUCKI DMD (PRESIDENT)
(860) 693-8314
Entity
Organization
Contact information
Practice address
66 MAPLE AVENUE, COLLINSVILLE, CT 06019
(860) 693-8314
(860) 693-4426
Mailing address
66 MAPLE AVENUE, COLLINSVILLE, CT 06019
(860) 693-8314
(860) 693-4426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5072
CT
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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