DR. Chris S Mirucki, D.M.D

NPI #1619136454 in Farmington, Connecticut

Provider Information

NPI Number: 1619136454
Entity Type: Individual
Name: DR. Chris S Mirucki, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jun 6, 2008
Last Updated: Jun 6, 2008

Practice Location

Address: 263 FARMINGTON AVE
Address 2: UCHC - DENTAL CLINIC #2
City: Farmington
State: Connecticut
ZIP Code: 06032-1956
Phone: (860) 679-3261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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