Individual
MR. RALPH LEONARD KROOPNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
591 MIDDLE TPKE., RT. 44, MANSFIELD SHOPPING PLAZA, STORRS, CT 06268-1667
(860) 429-0079
(860) 429-3190
Mailing address
591 MIDDLE TPKE., RT. 44, MANSFIELD SHOPPING PLAZA, STORRS, CT 06268-1667
(860) 429-0079
(860) 429-3190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3498
CT
1223G0001X
General Practice Dentistry
Primary
3498
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002034981
—
CT
Enumeration date
08/16/2006
Last updated
03/20/2013
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