Individual
DR. LYNNE BLOOM BUCALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
421 HAZARD AVENUE, ENFIELD, CT 06082
(860) 749-0533
(860) 749-1212
Mailing address
421 HAZARD AVENUE, ENFIELD, CT 06082
(860) 749-0533
(860) 749-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4079
CT
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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