Organization
DRS. BENCIVENGO & GAUDIO, D.M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE A CIQUERA (OFFICE MANAGER)
(860) 582-8095
Entity
Organization
Contact information
Practice address
21 PLEASANT ST, BRISTOL, CT 06010-6254
(860) 582-8095
(860) 589-3615
Mailing address
21 PLEASANT ST, BRISTOL, CT 06010-6254
(860) 582-8095
(860) 589-3615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4945 AND 6919
CT
Other
Enumeration date
05/21/2007
Last updated
07/02/2008
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