Individual
DR. CRISTIAN RICARDO CRACIUN BRUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2380 HEALTH DR SW STE 230, WYOMING, MI 49519-9702
(616) 341-7701
(844) 689-1183
Mailing address
8030 LIONEL DR SW, BYRON CENTER, MI 49315-7996
(860) 977-5666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11120
CT
1223P0221X
Pediatric Dentistry
Primary
2901022787
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AJ6217461
390200000X: STUDENT IN AN ORGANIZED HEALTH CARE/EDUCATION/TRAINING PROGRAM
CT
Enumeration date
06/29/2009
Last updated
01/29/2024
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