Individual
MICHAEL WILLIAM TICHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
435 NEW HAVEN AVE, DERBY, CT 06418-2534
(203) 735-7500
(203) 735-0439
Mailing address
435 NEW HAVEN AVE, DERBY, CT 06418-2534
(203) 735-7500
(203) 735-0439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005931
CT
Other
Enumeration date
04/08/2009
Last updated
04/10/2009
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