Organization
DRS. BUSH, TANDY, AND KORUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE JAY TANDY D.M.D. (SECRETARY)
(860) 875-2881
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE, VERNON, CT 06066-4784
(860) 875-2881
Mailing address
281 HARTFORD TPKE, VERNON, CT 06066-4784
(860) 875-2881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5632
CT
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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