Individual
GRISEL MARTINEZ CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
580 BURNSIDE AVE, SUITE 2, EAST HARTFORD, CT 06108-3579
(860) 282-9000
Mailing address
1011 MAIN ST, EAST HARTFORD, CT 06108-2294
(860) 528-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
011717
CT
1223P0221X
Pediatric Dentistry
Primary
11717
CT
Other
Enumeration date
11/26/2016
Last updated
03/08/2017
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