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Individual

DR. CHARLES C TRUNCALE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
USCG ACADEMY, MICHEL HALL, 15 MOHEGAN AVENUE, NEW LONDON, CT 06030-3906
(860) 444-8402
Mailing address
USCG HQ, COMDT (CG-1122), 2100 2ND STREET, RM 5314, WASHINGTON, DC 20593-0001
(860) 444-8402

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
008826
CT

Other

Enumeration date
02/24/2006
Last updated
07/08/2007
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