Individual
MISS ALBA MORAL CUCURULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3000
Mailing address
7 TALCOTT FOREST RD APT N, FARMINGTON, CT 06032-3572
(860) 416-6761
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
08/05/2016
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