Organization
DONALD J BUCALO DDS AND LYNNE B BUCALO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JOSEPH BUCALO DDS (PRESIDENT)
(860) 749-0533
Entity
Organization
Contact information
Practice address
421 HAZARD AVENUE, ENFIELD, CT 06082
(860) 749-0533
(860) 749-1212
Mailing address
421 HAZARD AVENUE, ENFIELD, CT 06082
(860) 749-0533
(860) 749-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4078
CT
Other
Enumeration date
07/29/2006
Last updated
08/22/2020
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