Individual
DR. CHRIS S MIRUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
263 FARMINGTON AVE, UCHC - DENTAL CLINIC #2, FARMINGTON, CT 06032-1956
(860) 679-3261
Mailing address
263 FARMINGTON AVE, UCHC - DENTAL CLINIC #2, FARMINGTON, CT 06032-1956
(860) 679-3261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009730
CT
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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