Individual
DR. BRIAN S DUCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22 IMPERIAL AVE, WESTPORT, CT 06880-4301
(203) 227-3709
(203) 226-5604
Mailing address
22 IMPERIAL AVE, WESTPORT, CT 06880-4301
(203) 227-3709
(203) 226-5604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5142
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5142
DENTAL LICENSE
CT
Enumeration date
01/23/2007
Last updated
07/08/2007
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