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Individual

DR. JOHN J MOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
227 POMFRET ST, PUTNAM, CT 06260-1835
(860) 963-7676
Mailing address
227 POMFRET ST, PUTNAM, CT 06260
(860) 963-7676

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007544
CT

Other

Enumeration date
03/01/2007
Last updated
07/09/2007
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