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Individual

MR. RAFAEL RAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108
(860) 528-1359
(860) 290-4142
Mailing address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108
(860) 528-1359
(860) 290-4142

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009396
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004236156
CT
Enumeration date
03/22/2006
Last updated
10/17/2013
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