Individual
DR. MICHAEL EDWARD YUNGAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
915 MAIN ST, APT 411, HARTFORD, CT 06103-1236
(508) 641-4259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011030
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2012
Last updated
11/10/2014
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