| Drs. Bencivengo & Gaudio, D.m.d.,p.c. | |
|
21 Pleasant St Bristol CT 06010-6254 | |
| (860) 582-8095 | |
| (860) 589-3615 |
| Full Name | Drs. Bencivengo & Gaudio, D.m.d.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21 Pleasant St, Bristol, Connecticut |
| Authorized Official Name and Position | Debbie A Ciquera (OFFICE MANAGER) |
| Authorized Official Contact | 8605828095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Bencivengo & Gaudio, D.m.d.,p.c. 21 Pleasant St Bristol CT 06010-6254 Ph: (860) 582-8095 | Drs. Bencivengo & Gaudio, D.m.d.,p.c. 21 Pleasant St Bristol CT 06010-6254 Ph: (860) 582-8095 |
| NPI Number | 1659589596 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659589596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4945 AND 6919 (Connecticut) | Primary |
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