Individual
DR. MARTIN J RUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 CENTER ST, PROSPECT, CT 06712-1639
(203) 758-6639
Mailing address
44 CENTER ST, PROSPECT, CT 06712-1639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6265
CT
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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