Whalio Doctors

NPI 1619474954

Ralph J Bozza

Organisation General Practice Dentistry Terryville, CT

Practice location

Address
47 Main St, Terryville, CT 06786-5102
Phone
(860) 584-8444
Fax
(860) 583-7557
Mailing address
45 Carriage Dr, Farmington, CT 06032-2703

Authorised official

Name
Ralph J Bozza
Title
Dentist
Phone
(860) 584-8444

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 5573 (CT)

Registry record

NPI
1619474954
Entity type
Organization
NPI issued
12 Apr 2018
Record last updated
16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.