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Organization

RON ARBUCKLE DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RON ARBUCKLE (PRESIDENT)
(860) 728-6668
Entity
Organization

Contact information

Practice address
21 WOODLAND ST, SUITE L-16, HARTFORD, CT 06105-4318
(860) 728-6668
(860) 525-7028
Mailing address
21 WOODLAND ST, SUITE L-16, HARTFORD, CT 06105-4318
(860) 728-6668
(860) 525-7028

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7628
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9050
CT

Other

Enumeration date
06/26/2008
Last updated
06/26/2008
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