Gerard E Bogucki Dms PC
NPI #1063527786 in Collinsville, Connecticut
Provider Information
- NPI Number
- 1063527786
- Entity Type
- Organization
- Organization Name
- Gerard E Bogucki Dms PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 66 MAPLE AVENUE
- City
- Collinsville
- State
- Connecticut
- ZIP Code
- 06019
- Phone
- (860) 693-8314
Authorized Official
- Name
- DR. GERARD EDWARD-ZACKARY BOGUCKI, DMD
- Title
- PRESIDENT
- Phone
- (860) 693-8314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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