Individual
DR. ROBERT JACOB VANWYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
98 WEST ST, LITCHFIELD, CT 06759
(860) 567-8684
Mailing address
98 WEST STREET, LITCHFIELD, CT 06759
(860) 567-8684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5881
CT
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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