Individual
DR. SANDRA VUKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
51 S WHITTLESEY AVE, WALLINGFORD, CT 06492-4101
(203) 265-3139
(203) 265-5133
Mailing address
51 S WHITTLESEY AVE, WALLINGFORD, CT 06492-4101
(203) 265-3139
(203) 265-5133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011226
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346658051
—
CT
Enumeration date
07/25/2014
Last updated
07/08/2021
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