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Individual

SARAI RUIZ NIEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
134 MONTOWESE ST, BRANFORD, CT 06405-3888
(203) 488-7444
Mailing address
134 MONTOWESE ST, BRANFORD, CT 06405-3888
(203) 488-7444

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
PENDING
OH
1223G0001X
General Practice Dentistry
Primary
011177
CT

Other

Enumeration date
06/24/2009
Last updated
04/27/2016
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