Individual
MR. DAVID CARTER PURVIANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1898 MANCHESTER RD, GLASTONBURY, CT 06033
(860) 649-3443
Mailing address
1898 MANCHESTER RD, GLASTONBURY, CT 06033
(860) 649-3443
(860) 649-3443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04543
CT
Other
Enumeration date
10/08/2008
Last updated
10/15/2008
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