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Individual

MR. CARL VEITH BRUEGGESTRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
21 WEST CLARK ST, MILFORD, CT 06460-2517
(203) 878-2151
Mailing address
21 WEST CLARK ST, MILFORD, CT 06460-2517
(203) 878-2151

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CT5774
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9550
CONTROLLED SUBST REGIST
CT
01
AB9378969
US DEPT OF JUSTICE
Enumeration date
05/21/2007
Last updated
07/08/2007
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